Kannan Sivaraju
Kannan Sivaraju is a Family Practice in Verona, New Jersey. Qualified in 1997, 29 years ago. Practices with Vanguard Medical Group PA, a 60-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.
- Years since qualifying
- 29
- Licensed in
- NJ
- In the registry since
- 2009
Practice location Address checks out
271 Grove Ave Ste AVerona, NJ 07044-1731
Phone: (973) 239-2600
Fax: (833) 495-1921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence 25MA08777500 (NJ) |
|---|
Record details
| NPI number | 1659508687 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 17, 2009 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | GERIATRIC MEDICINE, INTERNAL MEDICINE, OSTEOPATHIC MANIPULATIVE MEDICINE |
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Vanguard Medical Group Pa — 60 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |