Organization
SIVAKUMAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBURRAHAMAN SIVAKUMAR MD (CEO)
73443270709
Entity
Organization
Contact information
Practice address
37650 PROFESSIONAL CENTER DR, LIVONIA, MI 48154-1197
(734) 432-7070
Mailing address
37650 PROFESSIONAL CENTER DR, LIVONIA, MI 48154-1197
(734) 432-7070
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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