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1942259452
TARAK SRIVASTAVA
KANSAS CITY, MO
NPI
1942259452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics, Pediatric Nephrology
(Licence: MO 2001029955)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
Dr. TARAK SRIVASTAVA MD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3010
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Mailing Address
Dr. TARAK SRIVASTAVA MD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3010
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