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Individual
DR. SIVASUBRAMANIUM BHAVANI
Active
Individual
DR. SIVASUBRAMANIUM BHAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.139806
IL
207R00000X
Internal Medicine Physician
BP-10041492
TX
207RP1001X
Pulmonary Disease Physician
036.139806
IL
Other
Enumeration date
05/17/2011
Last updated
01/28/2019
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