Provider Demographics
NPI:1174818934
Name:SIVENDRAN, RAJIV T (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJIV
Middle Name:T
Last Name:SIVENDRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE # SPAN201
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5491
Mailing Address - Country:US
Mailing Address - Phone:617-754-4677
Mailing Address - Fax:617-632-0215
Practice Address - Street 1:330 BROOKLINE AVE # SPAN201
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-754-4677
Practice Address - Fax:617-632-0215
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2023-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA258261208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist