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

Prema Siva, MD

Individual provider Internal Medicine Physician · NPI 1699722009

Prema Siva, MD is an Internal Medicine in Laurel, Maryland. Qualified in 1984, 42 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
42
Licensed in
MD, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8871 Gorman Rd Ste 300
Laurel, MD 20723-5877
Phone: (410) 498-3150
Fax: (410) 601-8886
Show map & directions

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

Additional practice locations (1)

  • 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 — (631) 737-0100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D66419 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence 186016 (NY)

Record details

NPI number1699722009
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address8871 Gorman Rd Ste 300, Laurel, MD 20723-5877

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Laurel