Individual
ESWARI A SIVANANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 KOLBE RD, ATTN LAB DEPT, LORAIN, OH 44053
(440) 960-3216
(440) 244-0726
Mailing address
630 E RIVER ST, 4TH FLOOR PATHOLOGY DEPT, ELYRIA, OH 44035-5902
(440) 329-7656
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35039137
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0575211
—
OH
Enumeration date
02/10/2006
Last updated
02/23/2010
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