Individual
SIVA KUMAR SRIPADA
Active
Individual
SIVA KUMAR SRIPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101016685
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
5101016685
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
5101016685
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
5101016685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4828649-11
—
MI
05
—
4828658-11
—
MI
01
—
556314344
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/10/2006
Last updated
01/26/2024
Update your record
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