Organization
GEETHA SIVAM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETHA SIVAM M.D (OWENER)
(219) 924-5300
Entity
Organization
Contact information
Practice address
9725 PRAIRIE AVE, HIGHLAND, IN 46322-3616
(219) 924-5300
(219) 924-7041
Mailing address
9725 PRAIRIE AVE, HIGHLAND, IN 46322-3616
(219) 924-5300
(219) 924-7041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01037848
IN
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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