Individual
SUBRAMANIAN SIVARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 EL CAMINO REAL FL 2, PALO ALTO, CA 94301-2302
(650) 328-8385
Mailing address
795 EL CAMINO REAL FL 2, PALO ALTO, CA 94301-2302
(650) 328-8385
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
103776
MO
207RN0300X
Nephrology Physician
Primary
C53314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100150360B
—
KS
05
—
206687709
—
MO
Enumeration date
10/14/2005
Last updated
04/23/2024
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