# S SIVAMURTHY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245517226
- **Authorized official:** SHETRA SIVAMURTHY (PRESIDENT)
- **Authorized official phone:** (718) 526-3899

## Contact information

- **Practice address:** 8934 134TH ST, JAMAICA, NY 11418-2819
- **Practice address phone:** (718) 526-3899
- **Practice address fax:** (718) 526-3233
- **Mailing address:** 8934 134TH ST, JAMAICA, NY 11418-2819
- **Mailing address phone:** (718) 526-3899
- **Mailing address fax:** (718) 526-3233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2011
- **Last updated:** 12/06/2011
