Individual
DR. SIVA V DANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175, EAST SYRACUSE, NY 13057-9510
(315) 458-2211
(315) 452-9025
Mailing address
GLACIER CREEK OFFICE PARK-BLDG II, 6711 TOWPATH RD., SUITE 175, EAST SYRACUSE, NY 13057-9510
(315) 458-2211
(315) 452-9025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
148940
FL
Other
Enumeration date
05/02/2016
Last updated
11/20/2023
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