Individual
NIRANJAN SIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1532 LONE OAK RD, SUITE 150, PADUCAH, KY 42003-7913
(270) 538-6700
(270) 538-6755
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(888) 696-3541
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40453
KY
2084N0600X
Clinical Neurophysiology Physician
40453
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100009080
—
KY
Enumeration date
08/07/2006
Last updated
04/20/2016
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