MEDICARE: SIVA RAMACHANDRAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MD063569L	PA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD063569L	PA
3	207RP1001X	Pulmonary Disease Physician	MD063569L	PA

General Provider Information

NPI Number	:	1215902937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIVA RAMACHANDRAN MD

Provider Business Mailing Address
First Line	:	1001 CHESTERBROOK BLVD FL 3
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-3805
Country	:	US
Telephone Number	:	610-576-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 CHESTERBROOK BLVD FL 3
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-3805
Country	:	US
Telephone Number	:	610-576-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	11/03/2017

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