Individual
SIVAKUMAR ARDHANARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T2009004539
MO
207RC0000X
Cardiovascular Disease Physician
Primary
2017-02383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093944787
—
NC
01
—
19W1U
BCBS OF NC
NC
01
—
NN117A
MEDICARE
NC
Enumeration date
07/02/2009
Last updated
07/09/2025
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