Bellam, Siva P
Bellam, Siva P is an sole proprietor health care provider with primary practice located at 1700 Se Hillmoor Dr Ste 306, Port St Lucie FL 34952-7539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bellam, Siva P can be contacted via phone (772) 398-6016.Contact Information
Primary practice address
1700 Se Hillmoor Dr Ste 306
Port St Lucie FL 34952-7539
Phone: (772) 398-6016
Fax: (772) 337-0320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME70221 | Florida |
Profile Details
| NPI number | 1275732174 |
|---|---|
| LBN Legal business name | Bellam, Siva P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Feb 26th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275732174 | NPPES |
| Florida | Other | 31481 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 830005561 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 250467700 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 2967902005 | BLUE CROSS BLUE SHIELD |
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