| NPI | 1255645859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHANK CHANDRA SRIVASTAVA Owner 202-237-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: DC PO1000041) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-11-08 |