Nagaraju, Sivakumar
Nagaraju, Sivakumar is an individual health care provider with primary practice located at 500 Walter St Ne Ste 501 , Albuquerque NM 87102-2521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Nagaraju, Sivakumar can be contacted via phone (505) 727-3170.Contact Information
Primary practice address
500 Walter St Ne Ste 501
Albuquerque NM 87102-2521
Phone: (505) 727-3170
Fax: (505) 727-3171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2002-0499 | New Mexico |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 2002-0499 | New Mexico |
Profile Details
| NPI number | 1952373235 |
|---|---|
| LBN Legal business name | Nagaraju, Sivakumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Dec 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952373235 | NPPES |
| New Mexico | Other | NM009E22 | BCBS |
| New Mexico | Other | 110248672 | BCBS |
| New Mexico | Other | 201040737 | BCBS |
| New Mexico | Other | 850313268002 | BCBS |
| New Mexico | MEDICAID | 756710 | BCBS |
| New Mexico | Other | PROVP15697 | BCBS |
| New Mexico | Other | 10003714 | BCBS |
| New Mexico | MEDICAID | 33132739 | BCBS |
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