Active NPIIndividual provider

Dr. Changaramkumarath S Sivadas, MD

Internal Medicine in East Orange, New Jersey

NPI Number1760754741
Practice location
240 S Harrison St, Suite 405, East Orange, NJ 07018-1959
Fax
973-678-3171
Last updated
February 6, 2012

Changaramkumarath S Sivadas is an Internal Medicine based in East Orange, NJ. Changaramkumarath S Sivadas practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Changaramkumarath S Sivadas is 1760754741 and holds a License No. 25MA02928800 (NJ). The current practice location address for Changaramkumarath S Sivadas is 240 S Harrison St, Suite 405, East Orange, NJ 07018-1959 and can be reached out via phone at 973-678-8839 and via fax at 973-678-3171.

Provider Profile Details

NPI Number
1760754741
Provider Name
Changaramkumarath S Sivadas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
240 S Harrison St, Suite 405, East Orange, NJ 07018-1959
Phone Number
973-678-8839
Fax Number
973-678-3171
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2012
Last Update Date
February 6, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 S Harrison St
Suite 405
East Orange, NJ 07018-1959
Zip
07018-1959
Phone Number
973-678-8839
Fax Number
973-678-3171
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
240 S Harrison St
Suite 405
East Orange, NJ 07018-1959
City
East Orange
State
NJ
Zip
07018-1959
Phone Number
973-678-8839
Fax Number
973-678-3171

License Information

License Number
25MA02928800
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Changaramkumarath S Sivadas, MD?

The NPI number of Dr. Changaramkumarath S Sivadas, MD is 1760754741. It was assigned on February 6, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Changaramkumarath S Sivadas, MD?

Dr. Changaramkumarath S Sivadas, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA02928800.

Where does Dr. Changaramkumarath S Sivadas, MD practice?

The practice location is 240 S Harrison St, Suite 405, East Orange, NJ 07018-1959. The office can be reached at 973-678-8839 (phone) or 973-678-3171 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760754741 directly on the NPPES registry website.

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