Moorthy, Sivakami Brenda

Moorthy, Sivakami Brenda is an individual health care provider with primary practice located at 5757 W Thunderbird Rd E351, Glendale AZ 85306-4641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Moorthy, Sivakami Brenda can be contacted via phone (602) 374-3440.

Contact Information

Primary practice address
5757 W Thunderbird Rd E351 Glendale AZ 85306-4641
Phone: (602) 374-3440
Fax: (602) 374-3441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 4264 Arizona

Profile Details

NPI number 1124019575
LBN Legal business name Moorthy, Sivakami Brenda
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jan 21st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124019575 NPPES
Arizona MEDICAID 954900

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