Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Siva Pavani Nallam, MD

Individual provider Pediatrics Physician · NPI 1659702819

Dr. Siva Pavani Nallam, MD is a Pediatrics Physician in Stockton, California. Licensed in California and Pennsylvania. Registered with an NPI since 2013.

Licensed in
CA, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2349 N California St
Stockton, CA 95204-5505
Phone: (209) 469-2229
Fax: (209) 466-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD462023 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence A161250 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659702819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2013
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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