Individual
SIVA THIAGARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 PETER JEFFERSON PKWY STE 190, CHARLOTTESVILLE, VA 22911-8835
(434) 220-8620
(434) 220-8625
Mailing address
600 PETER JEFFERSON PKWY STE 190, CHARLOTTESVILLE, VA 22911-8835
(434) 220-8620
(434) 220-8625
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
0101024461
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006209483
—
VA
01
—
070498000
SOUTHERN HEALTH
VA
01
—
309085
BC BS
VA
Enumeration date
06/01/2006
Last updated
09/14/2020
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