Chinnadurai, Sivakumar
Chinnadurai, Sivakumar is an individual health care provider with primary practice located at 2530 Chicago Ave Ste 450 , Minneapolis MN 55404-4127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Chinnadurai, Sivakumar can be contacted via phone (615) 813-6000.Contact Information
Primary practice address
2530 Chicago Ave Ste 450
Minneapolis MN 55404-4127
Phone: (615) 813-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD48822 | Tennessee |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 49691 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | MD48822 | Tennessee |
Profile Details
NPI number | 1083835003 |
---|---|
LBN Legal business name | Chinnadurai, Sivakumar |
Credentials | MD, MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2007 |
Last updated | Mar 29th, 2018 - about 7 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 | 1083835003 | NPPES |
Minnesota | MEDICAID | 333602100 | |
Minnesota | Other | P00808079 |
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