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Individual
SIVACHIDAMBARAM SANKARAN
Active
Individual
SIVACHIDAMBARAM SANKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1338749
TX
225100000X
Physical Therapist
5501007654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501007654
LICENSE
MI
01
—
650H231800
BCBS
MI
Enumeration date
04/02/2007
Last updated
03/08/2022
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