Individual
DR. SIVAGNANLIN SIVAKANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 N BROAD ST, PHILADELPHIA, PA 19107-1913
(215) 569-8414
Mailing address
10 BRAXTON DR, BELLE MEAD, NJ 08502-4601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD067769L
PA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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