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

Niveditha Thangaraj

Individual provider Diagnostic Radiology Physician · NPI 1164809471

Niveditha Thangaraj is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Southwest Diagnostic Imaging LLC, a 121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-7237
Fax: (215) 707-9389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 South 10th St, Philadelphia, PA 19107-5244 — (215) 955-6000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD471342 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164809471
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2015
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southwest Diagnostic Imaging Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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