DR. BAL KRISHNA SRIVASTAVA


Address: 5538 Philadelphia Dr Ste B, Dayton, OH 45415-3061
Phone: 9374243589

DR. BAL KRISHNA SRIVASTAVA (NPI# 1871592345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871592345
Entity Type Individual
Full Name DR. BAL KRISHNA SRIVASTAVA
Credential MD
Practice Address 5538 Philadelphia Dr Ste B
Dayton
OH 45415-3061
Practice Telephone 9374243589
Practice Fax Number 9374240093
Mailing Telephone 9374243589
Mailing Fax Number 9374240093
Enumeration Date 2005-07-18
Last Update Date 2020-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
35072432 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2226157 05
OH ANTHEM 000000202320 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1210 Ky Highway 36 E, Cynthiana, KY 410317490 8592353748 8592353536

Office Location

Street Address 5538 PHILADELPHIA DR STE B
City DAYTON
State OH
Zip Code 45415-3061

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457881062 Angelique Oluyitan Registered Nurse 50 Granite Dr, Dayton, OH 45415 2017-06-15
1255869244 Sherry Marie Buchanan Occupational Therapy Assistant 140 Ewoodbury Dr, Dayton, OH 45415 2017-06-02
1417328972 Thomas Riddell Hearing Instrument Specialist 5525 N. Main St, Dayton, OH 45415 2015-10-09
1932448537 Mory Summer General Practice 141 Trailwoods Dr., Dayton, OH 45415 2013-02-04
1184909095 Yolanda Jean Jenkins Registered Nurse 6339 Afton Drive, Dayton, OH 45415 2011-10-12
1023392560 Megan E Betts Specialist/Technologist, Other 9000 N Main St. Ste 303, Dayton, OH 45415 2011-10-03
1356655195 Gwendolyn L. Warren Massage Therapist 8393 N. Main St., Ste B, Dayton, OH 45415 2010-08-04
1811141559 Dayton Physicians, LLC Durable Medical Equipment & Medical Supplies 9000 N Main St Suite 333, Dayton, OH 45415 2008-11-07
1730331224 Joel Metze Obstetrics & Gynecology 9000 N Main St Ste 232, Englewood, OH 45415 2008-10-16
1023236247 James Otis Hurst Dentist 9000 N. Main Street, Suite 207, Dayton, OH 45415 2007-04-23
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053773838 Dayton Springfield Heart and Vascular Medicine, LLC Internal Medicine 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 2016-03-22
1306815808 Ceferino J. Cata Internal Medicine 1126 S Main St, Dayton, OH 45409-2687 2006-03-16
1073513404 Stephen P Young Internal Medicine 425 W Grand Ave, Ste. 1003, Dayton, OH 45405-4775 2005-07-28
1598764391 Cardiology Specialists of Dayton Inc. Internal Medicine 4160 Little York Rd, Ste. 20, Dayton, OH 45414-5800 2005-07-14
1801891213 Mohammad Anwarul Kabir Internal Medicine 7111 N Main St, Suite 50, Dayton, OH 45415-2565 2005-06-14
1760484943 Hema Pandrangi Internal Medicine 122 Wyoming St, Dayton, OH 45409-2731 2005-06-01
1033111232 Sudhakar Maraboyina Internal Medicine 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 2005-06-01
1881696060 Sameh N Khouzam Internal Medicine 4160 Little York Rd Ste 20, Dayton, OH 45414 2005-06-01
1164425443 Abdelhamed I Abdelhamed Internal Medicine 9000 N Main St, Ste 101, Dayton, OH 45415-1180 2005-05-31
1346582608 Woodman Primary Care LLC Internal Medicine 1320 Woodman Dr, Dayton, OH 45432-3497 2013-03-25
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Competitor

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City DAYTON
Zip Code 45415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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