Rajendra Shrivastav, MD is a
Surgery physician based in Pontiac, Illinois. Rajendra Shrivastav is licensed to practice in Illinois (license number ) and his current practice location is 1512 W Reynolds St, Ste. B, Pontiac, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 842-3023.
NPI number for Rajendra Shrivastav is 1952378309 and his current mailing address is 1512 W Reynolds St, Ste. B, Pontiac, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952378309.
Physician's Profile
| Full Name | Rajendra Shrivastav |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 1512 W Reynolds St, Pontiac, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952378309
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Rajendra Shrivastav such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952378309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | (Illinois) | Primary |
| 207P00000X | Emergency Medicine | (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rajendra Shrivastav is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Rajendra Shrivastav, MD 1512 W Reynolds St, Ste. B, Pontiac, IL 61764-9781 Ph: (815) 842-3023 | Rajendra Shrivastav, MD 1512 W Reynolds St, Ste. B, Pontiac, IL 61764-9781 Ph: (815) 842-3023 |
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