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Individual

EELLAN SIVANESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-1822
(410) 367-2047
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125061895
IL
207L00000X
Anesthesiology Physician
ME126946
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D83568
MD
207R00000X
Internal Medicine Physician
125061895
IL

Other

Enumeration date
06/25/2012
Last updated
07/21/2022
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