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1083980064
ABHISHEK SRIVASTAVA
MYRTLE BEACH, SC
NPI
1083980064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: SC 83798)
Additional Taxonomies
208800000X Urology
(Licence: PA MD464030)
Enumeration Date
2012-03-23
Last Update Date
2020-08-24
Business Address
Dr. ABHISHEK SRIVASTAVA M.D.
823 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-449-1010
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Mailing Address
Dr. ABHISHEK SRIVASTAVA M.D.
823 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-347-2450
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