Individual
MRS. NALAYINI SIVARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(410) 542-8130
(410) 542-1826
Mailing address
10229 BERKSHIRE LN, ELLICOTT CITY, MD 21042-5878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0054836
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60900801
BLUECROSS/BLUESHEILD MD
MD
Enumeration date
07/05/2006
Last updated
07/08/2007
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