Shashank C. Srivastava, DPM, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01392 Issued in MD

Legal business name

SHASHANK C. SRIVASTAVA, DPM, LLC

Practice address

2401 Research Blvd
Suite 350
Rockville, MD 20850-3215

Phone

(301) 330-0468

Fax

(301) 330-3489

NPI assigned

Aug 31, 2007

Last updated

Sep 19, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shashank Chandra Srivastava, D.P.M.NPI 1366408221

Title

Onwer/President

Phone

(301) 330-0468

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shashank Chandra Srivastava, D.P.M.

  • Podiatrist
  • Rockville, MD
  • NPI 1366408221

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1811181928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-330-0468",
            "fax_number": "301-330-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-330-0468",
            "fax_number": "301-330-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHANK C. SRIVASTAVA, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "SHASHANK",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "ONWER/PRESIDENT",
        "authorized_official_telephone_number": "301-330-0468",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366408221",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME - MEDICAID",
            "identifier": "019525100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406228100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Stephen Sharp
• Shiffon Sharpe
• Bria Sharps
• Danielle Sharps
• Yvette Sharps
• Mitali Shastri
• Andrew Shaughnessy
• Antoinette Shaw
• Ciara Raine Shaw
• Kristina Shaw, LCSW-C

• Podiatrist in Rockville, MD
• Providers in Rockville, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.