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General NPI Number Information
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NPI Number | 1942401013
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Entity Type | Individual
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Provider Name | THINESH SIVAPATHAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 4755 OGLETOWN STANTON RD SUITE 1E10
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City | NEWARK
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State | DE
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Zip | 19713
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Country | US
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Telephone | 302-733-1487
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Fax | 302-733-5625
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DR STE 2300
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City | NEWARK
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone |
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Fax | 513-585-5511
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | C1-0011028
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | C1-0011028
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0011028
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 54602
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 54602
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License Number State | MN
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