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Individual

SUBHALAKSHMI N SIVASHANKARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7334
(216) 844-3781
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-043271
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35-043271
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
35-043271
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35-043271
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-043271
OH
207LP3000X
Pediatric Anesthesiology Physician
35-043271
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000217448
UNISON
OH
01
000000516063
ANTHEM
OH
05
0425561
OH
01
0583328
BCMH
OH
01
364022
WELLCARE MEDICAID
OH
01
4007925
AETNA
OH
01
744697
BUCKEYE MEDICAID
OH
01
P00383078
MEDICAR RAILROAD
OH
Enumeration date
07/23/2006
Last updated
08/19/2010
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