Sivarajan, Kulumani M

Sivarajan, Kulumani M is an individual health care provider with primary practice located at 2614 W Jefferson St , Joliet IL 60435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Sivarajan, Kulumani M can be contacted via phone (815) 725-1355.

Contact Information

Primary practice address
2614 W Jefferson St Joliet IL 60435
Phone: (815) 725-1355
Fax: (815) 725-9857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036062941 Illinois

Profile Details

NPI number 1952396582
LBN Legal business name Sivarajan, Kulumani M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 16th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952396582 NPPES
Illinois Other L29321 MEDICARE INDIV ID# FOR GROUP 336140
Illinois MEDICAID 036062941 MEDICARE INDIV ID# FOR GROUP 336140
Illinois Other 205474004 MEDICARE INDIV ID# FOR GROUP 336140
Illinois Other 830001948 MEDICARE INDIV ID# FOR GROUP 336140

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