Provider Demographics
NPI:1679193247
Name:SHRIVASTAVA, SANSKRITI (MD)
Entity Type:Individual
Prefix:
First Name:SANSKRITI
Middle Name:
Last Name:SHRIVASTAVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-3814
Mailing Address - Country:US
Mailing Address - Phone:570-343-2383
Mailing Address - Fax:570-343-4800
Practice Address - Street 1:WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION
Practice Address - Street 2:501 S, WASHINGTON AVENUE
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-5590
Practice Address - Country:US
Practice Address - Phone:507-722-8283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program