Individual
DR. GAJAN SIVANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 E 83RD ST, NEW YORK, NY 10028
(609) 240-9357
Mailing address
303 E 83RD ST, NEW YORK, NY 10028
(609) 240-9357
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
279395
NY
Other
Enumeration date
09/21/2009
Last updated
07/30/2015
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