Sivaraman, Sudarvizhi
Sivaraman, Sudarvizhi is an sole proprietor health care provider with primary practice located at 21219 Mack Ave , Grosse Pointe Woods MI 48236-1045. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sivaraman, Sudarvizhi can be contacted via phone (313) 882-7961.Contact Information
Primary practice address
21219 Mack Ave
Grosse Pointe Woods MI 48236-1045
Phone: (313) 882-7961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901022465 | Michigan |
Profile Details
| NPI number | 1972028488 |
|---|---|
| LBN Legal business name | Sivaraman, Sudarvizhi |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2017 |
| Last updated | May 23rd, 2024 - about 4 months 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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