Provider Demographics
NPI:1700850179
Name:SIVALINGAM, ARUNAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUNAN
Middle Name:
Last Name:SIVALINGAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 BUTLER PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1560
Mailing Address - Country:US
Mailing Address - Phone:800-331-6634
Mailing Address - Fax:267-420-1360
Practice Address - Street 1:4060 BUTLER PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1560
Practice Address - Country:US
Practice Address - Phone:800-331-6634
Practice Address - Fax:267-420-1360
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04982900207W00000X, 207WX0107X
DEC1-0003615207W00000X, 207WX0107X
PAMD037976E207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE146237ZCWYMedicare PIN
D18915Medicare UPIN
NJ707649AHDMedicare PIN
PA450251EV6Medicare PIN
PA450251EV6Medicare PIN
NJ4578601Medicaid
DE1700850179Medicaid
PA450251QXPMedicare PIN
DE729130A88Medicare PIN
PA001185714-0004Medicaid
PA450251ZCMMedicare PIN
NJ707649C9YMedicare PIN
NJ820000184Medicare PIN
NJ4578601Medicaid
DE180041895Medicare PIN
DE146237ZCWYMedicare PIN
PA450251FVUMedicare PIN
NJ707649AHDMedicare PIN