Active NPI
Mahisha Virdiana Muthu Sivan, MBBS
- Student in an Organized Health Care Education/Training Program
- Philadelphia, PA
National Provider Identifier
1609666205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3400 Spruce Street
Department of Surgery University of Pennsylvania Health
Philadelphia, PA 19104 - Phone
- (215) 662-6157
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3400 Spruce Street
Department of Surgery University of Pennsylvania Health
Philadelphia, PA 19104
Mailing address
3400 Spruce Street
Department of Surgery University of Pennsylvania Health
Philadelphia, PA 19104
Phone (215) 662-6157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1609666205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "DEPARTMENT OF SURGERY UNIVERSITY OF PENNSYLVANIA HEALTH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "DEPARTMENT OF SURGERY UNIVERSITY OF PENNSYLVANIA HEALTH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-6157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHU SIVAN",
"first_name": "MAHISHA VIRDIANA",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.