Sivakumar, Kumaraswamy
Sivakumar, Kumaraswamy is an sole proprietor health care provider with primary practice located at 4545 E Shea Blvd Ste 175, Phoenix AZ 85028-3074. He recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Ambulatory Health Care Facilities / Infusion Therapy, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is his primary health care specialty. Sivakumar, Kumaraswamy can be contacted via phone (480) 314-1007.Contact Information
Primary practice address
4545 E Shea Blvd Ste 175
Phoenix AZ 85028-3074
Phone: (480) 314-1007
Fax: (480) 314-1003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25540 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25540 | Arizona |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 25540 | Arizona |
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | 25540 | Arizona |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | 25540 | Arizona |
Profile Details
| NPI number | 1821035254 |
|---|---|
| LBN Legal business name | Sivakumar, Kumaraswamy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Aug 8th, 2019 - about 6 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 | 1821035254 | NPPES |
| Arizona | MEDICAID | 393108 |
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