Individual
DR. VADIVELU SIVARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S PACA ST, SUITE 300 6TH FL, BALTIMORE, MD 21201-1642
(410) 328-6720
(410) 328-1674
Mailing address
PO BOX 64374, BALTIMORE, MD 21264-4374
(410) 328-6720
(410) 328-6174
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D54750
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D54750
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA8702
RAILROAD MEDICARE GROUP
MD
Enumeration date
06/04/2006
Last updated
04/08/2008
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