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Individual

NIRANJAN SIVAKUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3525 ENSIGN RD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121
Mailing address
3525 ENSIGN RD NE, SUITE K, OLYMPIA, WA 98506-5065
(360) 413-8121

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD60661919
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2059291
WA
Enumeration date
06/07/2011
Last updated
10/21/2024
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