Individual
DR. SIVAKUMAR JAIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4207 LAKE BOONE TRL STE 220, RALEIGH, NC 27607-6685
(919) 784-1410
Mailing address
143 W FRANKLIN ST, CHAPEL HILL, NC 27516-2539
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2005-00905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900871
—
NC
01
—
P00259530
RAILROAD
NC
Enumeration date
07/26/2006
Last updated
11/22/2022
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