Individual
DR. KUMAR SIVA KALAPATAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE 700, HAWTHORNE, NY 10532-2140
(914) 593-7800
(914) 593-7857
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9817
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207037
NY
207RI0011X
Interventional Cardiology Physician
Primary
207037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01785813
—
NY
01
—
060047444
RAIL ROAD MEDICARE
NY
01
—
27N8335223
PTAN
NY
01
—
27N833K221
PTAN
NY
01
—
A400038241
MEDICARE PTAN
NY
Enumeration date
05/24/2005
Last updated
12/30/2022
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