IndividualActive
Ajan Sivaramamoorthy, MD
NPI 1699338012 · Pediatric Nephrology Physician · Philadelphia, PA
Provider details
- NPI number
- 1699338012
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT227856 (PA)
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-2449
Mailing address
10 Oneill Ct
Lawrenceville, NJ 08648-2663
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2023-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.