Individual
DR. GEETHA SIVASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
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