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Organization
SUBBURAMAN SIVAKUMAR MD PC
Active
Organization
SUBBURAMAN SIVAKUMAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBBURAMAN SIVAKUMAR MD (CEO)
(734) 432-7070
Entity
Organization
Contact information
Practice address
37650 PROFESSIONAL CNT DR, STE 1010A, LIVONIA, MI 48154
(734) 432-7070
(734) 432-5170
Mailing address
37650 PROFESSIONAL CNT DR, STE 1010A, LIVONIA, MI 48154
(734) 432-7070
(734) 432-5170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SS065284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301165
—
MI
Enumeration date
10/31/2006
Last updated
09/06/2007
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