Individual
BHRADEEV SIVASAMBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-5473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014-01484
NC
207RC0000X
Cardiovascular Disease Physician
Primary
MD476591
PA
Other
Enumeration date
11/28/2011
Last updated
06/14/2022
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