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Contact Information

SHANTA SRIVASTAVA, MD
811 E ELEVENTH ST
SUITE #104
UPLAND, CA91786
 Phone: 909-985-0793
 Fax: 909-985-8326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SHANTA SRIVASTAVA · (Female)

NPI Number 1558393322
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2006
Last updated 07/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A34126
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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