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

Vimala Sivaraman

Individual provider Surgery Physician · NPI 1831561687

Vimala Sivaraman is a Surgery Physician in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Vantage Ct
Port Jefferson, NY 11777-2237
Phone: (631) 331-2422
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 173991-1 (NY)

Record details

NPI number1831561687
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2015
Last updated in NPPESOctober 20, 2015

Other providers in Port Jefferson