IndividualActive
Adithya Sivaraju, MD
NPI 1811131147 · Clinical Neurophysiology Physician · New Haven, CT
Provider details
- NPI number
- 1811131147
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 052134 (CT)
Practice location
20 York St
Tompkins 209
New Haven, CT 06510-3220
Phone: (203) 688-9503
Mailing address
303 E 60th St Apt 14a
New York, NY 10022-1520
Registry dates
- Enumerated
- 2009-04-30
- Last updated
- 2014-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.