Provider Demographics
NPI:1841186244
Name:SRIVASTAVA, KIRAN SAROJINI (PA-C)
Entity type:Individual
Prefix:
First Name:KIRAN
Middle Name:SAROJINI
Last Name:SRIVASTAVA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 E 77TH ST OFC 1D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1922
Mailing Address - Country:US
Mailing Address - Phone:877-703-3775
Mailing Address - Fax:212-867-3787
Practice Address - Street 1:150 E 77TH ST OFC 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1922
Practice Address - Country:US
Practice Address - Phone:877-703-3775
Practice Address - Fax:212-867-3787
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant