Individual
DR. PARVATHI SIVARAMAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
(248) 682-0026
Mailing address
1455 LOCHRIDGE RD, BLOOMFIELD TOWNSHIP, MI 48302-0734
(248) 682-3300
(348) 682-0026
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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