Kollengode, Sivaram
Kollengode, Sivaram is an individual health care provider with primary practice located at 1210 Clark St , Cambridge OH 43725-9611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kollengode, Sivaram can be contacted via phone (740) 435-2468.Contact Information
Primary practice address
1210 Clark St
Cambridge OH 43725-9611
Phone: (740) 435-2468
Fax: (740) 439-7251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.066988 | Ohio |
Profile Details
| NPI number | 1154373561 |
|---|---|
| LBN Legal business name | Kollengode, Sivaram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1154373561 | NPPES |
| Ohio | MEDICAID | 0119848 |
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