Sudhakar, Sivaram

Sudhakar, Sivaram is an sole proprietor health care provider with primary practice located at 1901 Medi Park Suite # 1062, Amarillo TX 79106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sudhakar, Sivaram can be contacted via phone (806) 463-1652.

Contact Information

Primary practice address
1901 Medi Park Suite # 1062 Amarillo TX 79106
Phone: (806) 463-1652
Fax: (806) 463-1736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X H7836 Texas

Profile Details

NPI number 1497844112
LBN Legal business name Sudhakar, Sivaram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Nov 2nd, 2010 - 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 1497844112 NPPES
Texas Other H7836 STATE LICENSE
Texas MEDICAID 130454506 STATE LICENSE

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