Provider Demographics
NPI:1124285697
Name:SARVA, SIVATEJ (MBBS)
Entity type:Individual
Prefix:DR
First Name:SIVATEJ
Middle Name:
Last Name:SARVA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:DR
Other - First Name:SIVA
Other - Middle Name:TEJ
Other - Last Name:SARVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6500 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-6890
Mailing Address - Country:US
Mailing Address - Phone:573-629-3536
Mailing Address - Fax:573-629-3537
Practice Address - Street 1:451 KINGWOOD MEDICAL DR STE 100
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6408
Practice Address - Country:US
Practice Address - Phone:281-318-2043
Practice Address - Fax:281-536-6306
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014009029207RP1001X, 207RC0200X
TXR7593207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine