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Individual

DR. SARAVANA E SIVASHANKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19139 NW 23RD CT, PEMBROKE PINES, FL 33029-5336
(954) 684-3098
Mailing address
19139 NW 23RD CT, PEMBROKE PINES, FL 33029-5336
(954) 684-3098

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38975
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64093677
KY
Enumeration date
05/26/2006
Last updated
03/22/2013
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