Sivaraman, Manjamalai

Sivaraman, Manjamalai is an individual health care provider with primary practice located at 1020 Hitt St , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Sivaraman, Manjamalai can be contacted via phone (573) 882-1515.

Contact Information

Primary practice address
1020 Hitt St Columbia MO 65212-0001
Fax: (573) 884-0070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2001008016 Missouri
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 2001008016 Missouri

Profile Details

NPI number 1174581094
LBN Legal business name Sivaraman, Manjamalai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Sep 12th, 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 1174581094 NPPES
Missouri MEDICAID 205912801

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