Individual
SUSIL SIVARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 682-5232
Mailing address
8600 W GILMORE AVE, LAS VEGAS, NV 89129-7684
(702) 682-5232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17288
NV
208M00000X
Hospitalist Physician
17288
NV
Other
Enumeration date
03/28/2014
Last updated
08/03/2023
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