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Contact Information

NAMUN S SRIVASTAVA, MD
5310 W THUNDERBIRD RD STE 110
GLENDALE, AZ85306-4709
 Phone: 480-412-6336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NAMUN S SRIVASTAVA · (Male)

NPI # 1275027583
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2018
Last updated 08/12/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 73515
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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