| Kalika P Srivastava Md Pc | |
|
1444 Massachusetts Ave Suite 103 Troy NY 12180-1600 | |
| (518) 272-8181 | |
| Not Available |
| Full Name | Kalika P Srivastava Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1444 Massachusetts Ave, Troy, New York |
| Authorized Official Name and Position | Kalika P Srivastava (OWNER) |
| Authorized Official Contact | 5182728181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalika P Srivastava Md Pc 1444 Massachusetts Ave Suite 103 Troy NY 12180-1600 Ph: (518) 272-8181 | Kalika P Srivastava Md Pc 1444 Massachusetts Ave Suite 103 Troy NY 12180-1600 Ph: (518) 272-8181 |
| NPI Number | 1861831364 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861831364 | NPI | - | NPPES |
| PENDING | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 109015 (New York) | Primary |
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