Individual
JHANAVI SIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7970
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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