Individual
DR. GEETHA SIVASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2335 E KASHIAN LN STE 280, FRESNO, CA 93701-2211
(559) 320-1090
(559) 320-0331
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C168863
CA
207RI0200X
Infectious Disease Physician
Primary
C168863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125495
—
IL
01
—
F400140717
MEDICARE PTAN COOK COUNTY
IL
01
—
F400140718
MEDICARE PTAN MCHENRY COUNTY
IL
Enumeration date
04/19/2009
Last updated
03/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us