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

Dr. Tal Zivan, MD

Individual provider Cardiovascular Disease Physician · NPI 1639699796

Dr. Tal Zivan, MD is an Internal Medicine in Broomall, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
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

1991 Sproul Rd Ste 220
Broomall, PA 19008-3518
Phone: (610) 353-6400
Fax: (610) 356-1836
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-2000

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD475799 (PA)

Record details

NPI number1639699796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing addressPo Box 8538-227, Philadelphia, PA 19171-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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