Sivanandy, Mala S.

Sivanandy, Mala S. is an individual health care provider with primary practice located at 330 Brookline Avenue Gryzmish 6, Boston MA 02215. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Sivanandy, Mala S. can be contacted via phone (617) 667-1769.

Contact Information

Primary practice address
330 Brookline Avenue Gryzmish 6 Boston MA 02215
Phone: (617) 667-1769
Fax: (617) 667-7060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35088569 Ohio
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 239636 Massachusetts

Profile Details

NPI number 1235234212
LBN Legal business name Sivanandy, Mala S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Apr 14th, 2011 - about 14 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 1235234212 NPPES
Ohio MEDICAID 2686937

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