IndividualActive
Anil Srivastava, MD
NPI 1205920220 · Surgery Physician · Bridgeton, MO
Provider details
- NPI number
- 1205920220
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-090872 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
12266 De Paul Dr Ste 305
Bridgeton, MO 63044-2514
Phone: (314) 770-0991
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 955534
Saint Louis, MO 63195-5534
Additional practice locations (1)
- 621 S. New Ballas RdSuite 560aSt Louis, MO 63141-8261Phone: (314) 251-6440Fax: (314) 251-4456
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2023-03-07
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.