Individual
SIVA VENKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FRCSC
Contact information
Practice address
525 EAST 68TH STREET, STARR 9, NEW YORK, NY 10065-1006
(646) 962-9600
(646) 962-0715
Mailing address
525 EAST 68TH STREET, STARR 9, NEW YORK, NY 10065-5347
(646) 508-0734
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17802
ZZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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