Healthcare Provider Details

I. General information

NPI: 1124285697
Provider Name (Legal Business Name): DR. SIVATEJ SARVA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. SIVA TEJ SARVA

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 KINGWOOD MEDICAL DR STE 100
KINGWOOD TX
77339-6408
US

IV. Provider business mailing address

PO BOX 6709
KINGWOOD TX
77325-6709
US

V. Phone/Fax

Practice location:
  • Phone: 281-318-2043
  • Fax: 281-536-6306
Mailing address:
  • Phone: 281-943-2794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberR7593
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2014009029
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2014009029
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: