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1124285697 NPI number — DR. SIVATEJ SARVA

NPI Number: 1124285697
Health Care Provider/Practitioner: DR. SIVATEJ SARVA

Information about “1124285697” NPI (DR. SIVATEJ SARVA) exists in 1124285697 in HTML format HTML  |  1124285697 in plain Text format TXT  |  1124285697 in PDF (Portable Document Format) PDF  |  1124285697 in an XML format XML  formats.

NPI Number : 1124285697 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124285697",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SARVA",
    "FirstName": "SIVATEJ",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SARVA",
    "OtherFirstName": "SIVA",
    "OtherMiddleName": "TEJ",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 6709",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINGWOOD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77325-6709",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-943-2794",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "451 KINGWOOD MEDICAL DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KINGWOOD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77339-6408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-318-2043",
    "PracticeLocationAddressFaxNumber": "281-536-6306",
    "EnumerationDate": "05/21/2008",
    "LastUpdateDate": "12/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RP1001X",
          "TaxonomyName": "Pulmonary Disease Physician",
          "LicenseNumber": "R7593",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207RC0200X",
          "TaxonomyName": "Critical Care Medicine (Internal Medicine) Physician",
          "LicenseNumber": "2014009029",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RP1001X",
          "TaxonomyName": "Pulmonary Disease Physician",
          "LicenseNumber": "2014009029",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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