- Practice location
- 30 E Apple St Ste Nw3300, Dayton, OH 45409-2939
- Phone
- 937-208-8394
- Fax
- 937-208-8388
- Last updated
- July 21, 2022
Kaustubh Kailash Shrivastava is an Internal Medicine based in Dayton, OH. Kaustubh Kailash Shrivastava practices in Dayton, OH and has the professional credentials of MD. The NPI Number for Kaustubh Kailash Shrivastava is 1396021770 and holds a License No. MD19979 (ME). The current practice location address for Kaustubh Kailash Shrivastava is 30 E Apple St Ste Nw3300, Dayton, OH 45409-2939 and can be reached out via phone at 937-208-8394 and via fax at 937-208-8388.
Provider Profile Details
- NPI Number
- 1396021770
- Provider Name
- Kaustubh Kailash Shrivastava
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 E Apple St Ste Nw3300, Dayton, OH 45409-2939
- Phone Number
- 937-208-8394
- Fax Number
- 937-208-8388
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 28, 2011
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 E Apple St Ste Nw3300
Dayton, OH 45409-2939 - City
- Dayton
- State
- Ohio
- Zip
- 45409-2939
- Phone Number
- 937-208-8394
- Fax Number
- 937-208-8388
Provider Business Mailing Address Details
- Address
- 61 Ledgelawn Ave
Bar Harbor, ME 04609-1303 - City
- Bar Harbor
- State
- ME
- Zip
- 04609-1303
- Phone Number
- 567-210-0190
License Information
- License Number (1)
- MD19979
- License State (1)
- ME
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 35.130715
- License State (2)
- OH
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kaustubh K Shrivastava, MD?
The NPI number of Kaustubh K Shrivastava, MD is 1396021770. It was assigned on October 28, 2011 and is currently active in the NPPES registry.
What is the specialty of Kaustubh K Shrivastava, MD?
Kaustubh K Shrivastava, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in ME under license number MD19979.
Where does Kaustubh K Shrivastava, MD practice?
The practice location is 30 E Apple St Ste Nw3300, Dayton, OH 45409-2939. The office can be reached at 937-208-8394 (phone) or 937-208-8388 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396021770 directly on the NPPES registry website.