Organization
VALAPARAMBIL K. SIVAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALAPARAMBIL K. SIVAN M.D. (OWNER)
(410) 335-0008
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD, SUITE 214, BALTIMORE, MD 21237-4329
(410) 238-0101
(410) 238-0944
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419891300
MEDICAL ASSISTANCE
MD
Enumeration date
05/25/2010
Last updated
08/20/2010
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