Individual
SANJEEV SIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
109 PHYSICIANS DR STE C, GREER, SC 29650-2446
(864) 797-8800
(864) 797-8805
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
39931
SC
2084N0400X
Neurology Physician
4301098796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399312
—
SC
Enumeration date
08/05/2011
Last updated
06/29/2021
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