Sivasubramanian, Geetha
Sivasubramanian, Geetha is an individual health care provider with primary practice located at 2335 E Kashian Ln Ste 280 , Fresno CA 93701-2211. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Sivasubramanian, Geetha can be contacted via phone (559) 320-1090.Contact Information
Primary practice address
2335 E Kashian Ln Ste 280
Fresno CA 93701-2211
Phone: (559) 320-1090
Fax: (559) 320-0331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C168863 | California |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | C168863 | California |
Profile Details
| NPI number | 1306089479 |
|---|---|
| LBN Legal business name | Sivasubramanian, Geetha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2009 |
| Last updated | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306089479 | NPPES |
| Illinois | Other | F400140717 | MEDICARE PTAN COOK COUNTY |
| Illinois | MEDICAID | 036125495 | MEDICARE PTAN COOK COUNTY |
| Illinois | Other | F400140718 | MEDICARE PTAN COOK COUNTY |
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