Individual
SIVA K PATIMALLA VENKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-4804
(781) 744-8000
Mailing address
620 HOWARD AVENUE, SUITE 7F, ALTOONA, PA 16601
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
292978
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD462869
PA
Other
Enumeration date
08/14/2009
Last updated
08/04/2022
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