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General NPI Number Information
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NPI Number | 1982109740
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Entity Type | Individual
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Provider Name | HARAN SIVAKUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 99 WALL ST STE 475
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone | 917-284-8973
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Fax | 956-394-1214
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Provider Business Mailing Address
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Address Line | 99 WALL ST STE 475
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone | 917-284-8973
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Fax | 956-394-1214
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 312837
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 312837
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 312837
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | A163513
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 312837
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A163513
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A163513
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | A163513
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License Number State | CA
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