Individual
MR. SIVARAMAN SIVASWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2760 AIRPORT DR, SUITE 120, COLUMBUS, OH 43219-2284
(614) 586-0668
(614) 586-0669
Mailing address
2760 AIRPORT DR, SUITE 120, COLUMBUS, OH 43219-2284
(614) 586-0668
(614) 586-0669
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
114523
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107441
—
OH
Enumeration date
09/19/2005
Last updated
10/10/2014
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