Individual
KIRUBAKARAN SIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 WALLACE BASHAW WAY STE 1002, NEWBURYPORT, MA 01950-3876
(978) 255-2612
Mailing address
1 WALLACE BASHAW WAY STE 1002, NEWBURYPORT, MA 01950-3876
(978) 255-2612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274862
MA
208M00000X
Hospitalist Physician
274862
MA
Other
Enumeration date
04/29/2015
Last updated
03/17/2026
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