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DR. SUDHIR PREM SRIVASTAVA M.D. NPI 1598755811


NPI Information

NPI: 1598755811
Provider Name: DR. SUDHIR PREM SRIVASTAVA, M.D.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5665 PEACHTREE DUNWOODY RD NE
SUITE 200
ATLANTA, GA
ZIP 30342
Phone: (404) 252-6104
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DR. Sudhir Prem Srivastava, M.D. is a thoracic surgery cardiothoracic vascular surgery in Atlanta, GA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Sudhir Prem Srivastava, M.D. NPI is 1598755811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5665 PEACHTREE DUNWOODY RD NE
SUITE 200
ATLANTA, GA
ZIP 30342-764
Phone: (404) 252-6104
Fax: (404) 847-9683

The NPI 1598755811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 12/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistF3628TEXASNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)062083GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1511I780011MEDICARE PINGEORGIA
2123718204MEDICAIDTEXAS
3060059517OTHERTEXASRAILROAD MEDICARE
4E07989MEDICARE UPINTEXAS
581Y990MEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.