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Individual

DR. PARVATHI SIVARAMAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301066648
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142662
CARE CHOICES
MI
01
153996
GREAT LAKES HEALTH PLAN
MI
01
17545
MCARE
MI
01
3506354231
BCBSM
MI
01
37975
HEALTH PLAN OF MICHIGAN
MI
05
4817930
MI
05
4817959
MI
01
6U4828
HAP
MI
01
O1003206
HEALTH PLUS
MI
Enumeration date
10/10/2006
Last updated
08/05/2020
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