Sivasailam, Sankaravadivu

Sivasailam, Sankaravadivu is an individual health care provider with primary practice located at 9114 Philadelphia Rd Suite 208, Baltimore MD 21237-4317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Sivasailam, Sankaravadivu can be contacted via phone (410) 687-5300.

Contact Information

Primary practice address
9114 Philadelphia Rd Suite 208 Baltimore MD 21237-4317
Fax: (410) 682-4418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D45530 Maryland

Profile Details

NPI number 1710971387
LBN Legal business name Sivasailam, Sankaravadivu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jun 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710971387 NPPES
Maryland MEDICAID 31421100

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