Individual
DR. KRISHAN SIVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 684-0280
(919) 668-5394
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 684-0280
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2024-00327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024-00327
NC MEDICAL LICENSE
NC
Enumeration date
05/15/2021
Last updated
06/16/2024
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