Individual
SIVAKUMAR RAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14192 METROPOLIS AVE, FORT MYERS, FL 33912-4331
(239) 244-9560
(239) 244-9481
Mailing address
PO BOX 3098, OCALA, FL 34478-3098
(239) 244-9560
(239) 244-9481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08650500
NJ
207R00000X
Internal Medicine Physician
D0061827
MD
207R00000X
Internal Medicine Physician
ME100391
FL
207RI0200X
Infectious Disease Physician
Primary
ME100391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004055400
—
FL
05
—
0229181
—
NJ
01
—
14H3T
FLORIDA BLUE
FL
Enumeration date
07/14/2005
Last updated
07/16/2016
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