Sethuraman, Siva
Sethuraman, Siva is an individual health care provider with primary practice located at 2810 Dacy Ln , Kyle TX 78640-6322. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sethuraman, Siva can be contacted via phone (512) 268-8900.Contact Information
Primary practice address
2810 Dacy Ln
Kyle TX 78640-6322
Phone: (512) 268-8900
Fax: (512) 268-2250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28404 | Texas |
Profile Details
| NPI number | 1770723595 |
|---|---|
| LBN Legal business name | Sethuraman, Siva |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2009 |
| Last updated | Apr 25th, 2024 - 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 | 1770723595 | NPPES |
| Texas | MEDICAID | 314500501 |
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