Anil Kumar Srivastava is a Surgery Physician based in Saint Louis, MO. Anil Kumar Srivastava practices in Bridgeton, MO and has the professional credentials of MD. The NPI Number for Anil Kumar Srivastava is 1205920220 and holds a License No. 036-090872 (Missouri).
The current practice location address for Anil Kumar Srivastava is 12266 De Paul Dr Ste 305, Bridgeton, MO and can be reached out via phone at 314-770-0991.
Location: 12266 De Paul Dr Ste 305, Bridgeton, MO, 63195-5534
Provider Profile Details
NPI Number
1205920220
Provider Name
Anil Kumar Srivastava
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12266 De Paul Dr Ste 305, Bridgeton, MO, 63195-5534
Phone Number
314-770-0991
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 927594382 | 01 | MO | MEDICARE PTAN |
| 1205920220 | 05 | MO | |
| 2004034166 | 01 | MO | LICENSE |
Provider Business Practice Location Address Details
Address
12266 De Paul Dr Ste 305
City
State
Zip
63044-2514
Phone Number
314-770-0991
Fax Number
Provider Business Mailing Address Details
Address
12266 De Paul Dr Ste 305
City
State
Zip
63044-2514
Phone Number
314-770-0991
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
2004034166 (Missouri)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
2004034166 (Missouri)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Critical Care
Taxonomy
License No.
2004034166 (Missouri)
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
License No.
036-090872 (Illinois)
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
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