KAVITA SRIVASTAVA JACKSON

SILVER SPRING, MD
NPI1497136600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MD  D0086968)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT209033)
Enumeration Date2015-06-12
Last Update Date2019-06-19
Business Address
Dr. KAVITA SRIVASTAVA JACKSON M.D.
1500 FOREST GLEN RD DEPT OF
SILVER SPRING, MD 20910-1460
Phone number: 301-754-7000
Mailing Address
Dr. KAVITA SRIVASTAVA JACKSON M.D.
1500 FOREST GLEN RD DEPT OF EMERGENCY MEDICINE
SILVER SPRING, MD 20910-1484
Phone number: 301-754-7000