Individual
SIVAKUMAR NAGARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102-2521
(505) 727-3170
(505) 727-3171
Mailing address
500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102-2521
(505) 727-3170
(505) 727-3171
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2002-0499
NM
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2002-0499
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003714
LOVELACE HEALTH/SALUD
NM
01
—
110248672
RAILROAD MEDICARE
NM
01
—
201040737
PRESBYTERIAN HEALTH/SALUD
NM
05
—
33132739
—
NM
05
—
756710
—
AZ
01
—
850313268002
CHAMPUS
—
01
—
NM009E22
BCBS
NM
01
—
PROVP15697
MOLINA
NM
Enumeration date
02/02/2006
Last updated
12/11/2019
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