IndividualActive
Sivakami Moorthy, DO
NPI 1124019575 · Surgical Oncology Physician · Glendale, AZ
Provider details
- NPI number
- 1124019575
- Entity type
- Individual
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 4264 (AZ)
Practice location
5757 W Thunderbird Rd
E351
Glendale, AZ 85306-4641
Phone: (602) 374-3440
Fax: (602) 374-3441
Mailing address
5757 W Thunderbird Rd
Glendale, AZ 85306-4641
Registry dates
- Enumerated
- 2005-11-03
- Last updated
- 2014-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.