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Individual

DR. KRISHNAN SIVARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3507265S
OH

Other

Enumeration date
02/09/2006
Last updated
06/25/2018
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