Sivakumar, Balasubramaniam

Sivakumar, Balasubramaniam is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 2E, Liverpool NY 13088-3807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sivakumar, Balasubramaniam can be contacted via phone (315) 634-3399.

Contact Information

Primary practice address
5100 W Taft Rd Suite 2E Liverpool NY 13088-3807
Phone: (315) 634-3399
Fax: (315) 634-3395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 140339 New York

Profile Details

NPI number 1134189483
LBN Legal business name Sivakumar, Balasubramaniam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 10th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134189483 NPPES
New York MEDICAID 00812455

Popular Providers