Provider Demographics
NPI:1124369400
Name:PATEL-SHRIVASTAVA, SARASWATIBEN HARILAL (MD)
Entity Type:Individual
Prefix:
First Name:SARASWATIBEN
Middle Name:HARILAL
Last Name:PATEL-SHRIVASTAVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARASWATI
Other - Middle Name:
Other - Last Name:PATEL-SHRIVASTAVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:737 PARK AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4243
Mailing Address - Country:US
Mailing Address - Phone:212-288-0138
Mailing Address - Fax:212-288-3544
Practice Address - Street 1:737 PARK AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4243
Practice Address - Country:US
Practice Address - Phone:212-288-0138
Practice Address - Fax:212-288-3544
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138811-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry