Healthcare Provider Details

I. General information

NPI: 1134814114
Provider Name (Legal Business Name): DR. SIVA PALASINGAM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 W MARTIN ST # MS 49-2
SAN ANTONIO TX
78207-0903
US

IV. Provider business mailing address

7703 FLOYD CURL DR # MC7816
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-5437
  • Fax: 210-358-6880
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW5917
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberW4092
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: