Individual
SURENDRA SIVARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8395
(717) 531-5726
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD425257
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101639954
—
PA
01
—
MD425257
STATE LICENSE
PA
Enumeration date
06/04/2006
Last updated
12/08/2016
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