Kannan Sivaraju

NPI 1659508687 · on the registry since 2009

Practice

Address: 271 Grove Ave Ste A
Verona, NJ 07044
Phone: (973) 239-2600
Fax: (833) 495-1921
Organisation at this address: Vanguard Medical Group, Pa
Vanguard Medical Group, Pa
Vanguard Partner Network Llc
Primary Care For The Homebound Pa
Pursue Physical Therapy & Performance Training
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: 207RG0300X
207RG0300X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey