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Individual

DR. SIVAGAMA VALLI RAMASUNDARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
2118 25TH ST STE C, COLUMBUS, IN 47201-3240
(812) 376-9427
(812) 378-6174
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01073923A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000984125
ANTHEM PIN
IN
05
201231900
IN
Enumeration date
07/28/2011
Last updated
04/08/2026
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