DR. AMIT K SRIVASTAVA (NPI# 1770521510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770521510 |
| Entity Type | Individual |
| Full Name | DR. AMIT K SRIVASTAVA |
| Credential | M.D. |
| Practice Address |
3722 Harlem Ave Suite 102 Riverside IL 60546-2312 |
| Practice Telephone | 7087837000 |
| Practice Fax Number | 7087837008 |
| Mailing Telephone | 7087837000 |
| Mailing Fax Number | 7087837008 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036071488 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036071488 | 05 | |
| IL | BCBS # | 1622295 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922599 | Amit Srivastava | Pharmacist | 365 Lake Marian Rd, Carpentersville, IL 60110-2096 | 2020-11-03 |
| 1104203769 | Amit Srivastava | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-3214 | 2015-05-04 |
| 1932209608 | Amit Srivastava | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709-1041 | 2006-09-23 |
| Street Address |
3722 HARLEM AVE SUITE 102 |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457399545 | Bhs Digestive Disease Associates | Internal Medicine | 3722 Harlem Ave, Suite 102, Riverside, IL 60546-2312 | 2006-06-02 |
| 1063824993 | David Brual | Internal Medicine | 3722 Harlem Ave, Suite Ll34, Riverside, IL 60546-2312 | 2014-05-27 |
| 1174935274 | Ann Bunyan | Internal Medicine | 3722 Harlem Ave, Suite Ll34, Riverside, IL 60546-2312 | 2014-05-22 |
| 1962835884 | Viraj Dharmraj Chauhan | Pediatrics | 3722 Harlem Ave, Suite 200, Riverside, IL 60546-2312 | 2013-08-14 |
| 1184988396 | Latha Sunil Kumar | Internal Medicine | 3722 Harlem Ave, Riverside, IL 60546-2312 | 2012-07-02 |
| 1952619926 | Nancy A Rodriguez | Registered Nurse | 3722 Harlem Ave, Suite 202, Riverside, IL 60546-2312 | 2010-09-23 |
| 1295990844 | Vhs of Illinois Inc | Clinic/Center | 3722 Harlem Ave, Suite Ll20, Riverside, IL 60546-2312 | 2008-07-23 |
| 1063599744 | Jennie S. Ng | Internal Medicine | 3722 Harlem Ave, Suite 102, Riverside, IL 60546-2312 | 2006-11-01 |
| 1700814183 | Raul Cayabyah Tamayo | Pediatrics | 3722 Harlem Ave, Suite 200, Riverside, IL 60546-2312 | 2006-06-28 |
| 1164467593 | Narges Sedighen Razavizadeh | Pediatrics | 3722 Harlem Ave, Suite 200, Riverside, IL 60546-2312 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902167695 | Marco A Paez | Internal Medicine | 6900 Brockton Ave Ste 100, Riverside, CA 92506-3817 | 2012-05-30 |
| 1649583782 | Abbas Rupawala | Internal Medicine | 375 Wampanoag Trl Ste 202a, Riverside, RI 02915-2234 | 2010-07-19 |
| 1679700579 | Martin J. Collen M.d. Inc. | Internal Medicine | 6647 Hawarden Dr, Riverside, CA 92506-5111 | 2009-06-18 |
| 1083813158 | Galen C. L. Huang, M.d., Inc. | Internal Medicine | 6958 Brockton Ave # 202, Riverside, CA 92506-3802 | 2007-07-17 |
| 1265580724 | Vinod Mishra | Internal Medicine | 6958 Brockton Ave Ste 201, Riverside, CA 92506-3802 | 2007-01-08 |
| 1396825923 | Frank Iber | Internal Medicine | 339 Selborne Rd, Riverside, IL 60546-1624 | 2006-10-17 |
| 1033221007 | Jyothi Ahalya Reddy | Internal Medicine | 9670 Magnolia Ave Ste 203, Riverside, CA 92503-3684 | 2006-08-31 |
| 1316971765 | Galen Chung-liang Huang | Internal Medicine | 6958 Brockton Ave, Suite 202, Riverside, CA 92506-3802 | 2006-07-10 |
| 1457399545 | Bhs Digestive Disease Associates | Internal Medicine | 3722 Harlem Ave, Suite 102, Riverside, IL 60546-2312 | 2006-06-02 |
| 1063703890 | Scott Hyunsoo Lee | Internal Medicine | 6405 Day St, Riverside, CA 92507-0901 | 2011-04-27 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.