Provider Demographics
NPI:1831552793
Name:SIVARAJAPILLAI, SINTHIKKA (MD, SA-C)
Entity type:Individual
Prefix:DR
First Name:SINTHIKKA
Middle Name:
Last Name:SIVARAJAPILLAI
Suffix:
Gender:F
Credentials:MD, SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3936 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2732
Mailing Address - Country:US
Mailing Address - Phone:773-628-7569
Mailing Address - Fax:
Practice Address - Street 1:3936 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-2732
Practice Address - Country:US
Practice Address - Phone:773-865-9088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238000477246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant