Provider Demographics
NPI:1649598095
Name:SIVARAJAH, MAHESHWARAN (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:MAHESHWARAN
Middle Name:
Last Name:SIVARAJAH
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF SURGERY
Mailing Address - Street 2:525 E 68TH STREET
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-5130
Mailing Address - Fax:212-746-0547
Practice Address - Street 1:DEPARTMENT OF SURGERY
Practice Address - Street 2:525 E. 68TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-5130
Practice Address - Fax:212-746-0547
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290149208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery