Provider Demographics
NPI:1467156828
Name:SIVALINGAM MEDICAL CORPORATION, INC.
Entity Type:Organization
Organization Name:SIVALINGAM MEDICAL CORPORATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREDISENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KANAGARATNAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVALINGAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-726-3724
Mailing Address - Street 1:44725 10TH ST W STE 170
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3000
Mailing Address - Country:US
Mailing Address - Phone:661-726-3724
Mailing Address - Fax:661-726-3770
Practice Address - Street 1:20111 W VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-8747
Practice Address - Country:US
Practice Address - Phone:661-822-3519
Practice Address - Fax:661-822-3528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty