Individual
MANJAMALAI SIVARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 N KEENE ST, COLUMBIA, MO 65201-8369
(573) 882-1515
(573) 884-0070
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2001008016
MO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
2001008016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205912801
—
MO
Enumeration date
05/02/2006
Last updated
07/21/2025
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