Individual
DR. GHOMATHY SIVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3825 FISHCREEK RD, STOW, OH 44224-4322
(234) 867-6994
Mailing address
3825 FISHCREEK RD, STOW, OH 44224-4322
(234) 867-6994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017042961
MO
207R00000X
Internal Medicine Physician
Primary
35.152054
OH
207R00000X
Internal Medicine Physician
57.253417
OH
Other
Enumeration date
06/15/2018
Last updated
06/20/2025
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