Individual
HARI KRISHNAN SIVANANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6908 PROVIDENCE PARK DR S, MOBILE, AL 36695-4600
(251) 660-3490
(251) 660-3491
Mailing address
PO BOX 18981, BELFAST, ME 04915-4084
(251) 266-3361
(251) 266-3361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.31875
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203602
—
AL
Enumeration date
07/23/2009
Last updated
02/15/2019
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