Healthcare Provider Details

I. General information

NPI: 1376117697
Provider Name (Legal Business Name): SIVANI LINGAM MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date: 11/07/2022
Reactivation Date: 12/08/2022

III. Provider practice location address

3901 RAINBOW BLVD
KANSAS CITY KS
66160-8500
US

IV. Provider business mailing address

3901 RAINBOW BLVD UNIVERSITY OF KANSAS MEDICAL CENTER
KANSAS CITY KS
66160-0001
US

V. Phone/Fax

Practice location:
  • Phone: 913-999-9037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number94-10766
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: