Shanta Srivastava (NPI# 1558393322, PAC ID# 6002057056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1558393322 |
| PAC ID by PECOS | 6002057056 |
| Professional Enrollment ID | I20130802000432 |
| Full Name | Shanta Srivastava |
| Address |
811 E 11th St Suite 104 Upland CA 91786-4872 |
| Gender | F |
| Graduation Year | 1964 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050099 | SAN ANTONIO REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 811 E 11th St, Suite 104, Upland, CA 91786-4872 |
| Street Address |
811 E 11TH ST SUITE 104 |
| City | UPLAND |
| State | CA |
| Zip | 91786-4872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandar Win | Family Medicine | 811 E 11th St, Suite 205, Upland, CA 91786-4872 | |
| Romeo J Samouh | Family Medicine | 811 E 11th St, Suite 102, Upland, CA 91786-4872 | |
| Nahel Al Bouz | Internal Medicine | 811 E 11th St, Suite 203, Upland, CA 91786-4872 | |
| Nabil Koudsi | General Surgery | 811 E 11th St, Suite 207, Upland, CA 91786-4872 | |
| Jeannette S Benjamin | Internal Medicine | 811 E 11th St, Suite 101, Upland, CA 91786-4872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny L Smith | Nurse Practitioner | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Khin T Htun | Family Medicine | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
| Raul Castillo | Chiropractic | 659 E 15th St, Suite D, Upland, CA 91786-2333 | |
| Louis Brenner | Family Medicine | 1113 Alta Ave, Suite 110, Upland, CA 91786-2803 | |
| Richard L Armour | Family Medicine | 1113 Alta Ave, Suite 102, Upland, CA 91786-2803 | |
| Susan Christine Biegel | Internal Medicine | 1113 Alta Ave, Suite 220, Upland, CA 91786-2803 | |
| Keith M Gross | Dermatology | Keith Mark Gross Md Inc | 1113 Alta Ave, Suite 200, Upland, CA 91786-2803 |
| Torhild E Kvarekvaal | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Ninfa P Weinzapfel | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
| Michael A Benavidez | Family Medicine | 984 W Foothill Blvd, Upland, CA 91786-3700 | |
| Find all physicians in zip 91786 | |||
| City | UPLAND |
| Zip Code | 91786 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | UPLAND + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Shanta Srivastava.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.