Individual
GEETHA SIVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100349810
—
IN
Enumeration date
05/26/2006
Last updated
01/26/2010
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