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
Phone: (410) 687-5300
Fax: (410) 682-4418
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710971387 | NPPES |
Maryland | MEDICAID | 31421100 |
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