Individual
DR. MAHALINGAM SIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 SELWYN AVE, ACN MORRIS, BRONX, NY 10457-7626
(718) 960-1320
(718) 960-1051
Mailing address
1650 SELWYN AVE, MILSTEIN BLDG 5A, BRONX, NY 10457-7626
(719) 960-1320
(718) 960-1051
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
222430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02134256
—
NY
Enumeration date
09/06/2005
Last updated
04/21/2009
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