| Meera Sivendran, MD | |
|
145 King Of Prussia Road, Suite 306 South, Radnor, PA 19087-4557 | |
| (610) 902-2400 | |
| (610) 902-2404 |
| Full Name | Meera Sivendran |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 145 King Of Prussia Road, Radnor, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245551779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 25MA09474400 (New Jersey) | Secondary |
| 207N00000X | Dermatology | MD469050 (Pennsylvania) | Primary |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365915 PECOS PAC ID: 2264691070 Enrollment ID: O20120803000031 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104295716 PECOS PAC ID: 4486955267 Enrollment ID: O20151221001450 |
| Mailing Address | Practice Location Address |
|---|---|
| Meera Sivendran, MD 3600 Spruce St, 2 Maloney, Philadelphia, PA 19104-6144 Ph: (610) 902-2400 | Meera Sivendran, MD 145 King Of Prussia Road, Suite 306 South, Radnor, PA 19087-4557 Ph: (610) 902-2400 |
Rudolf Roth, MD Dermatology Medicare: Medicare Enrolled Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Cherie M Ditre, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2428 Fax: 610-902-2404 | |
Dr. Catherine M Quirk, MD Dermatology Medicare: Medicare Enrolled Practice Location: 250 King Of Prussia Road, Radnor, PA 19087 Phone: 610-902-2000 |