Individual
DEVAKI SIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6600 UNIVERSITY PKWY STE 204, LAKEWOOD RANCH, FL 34240-9041
(941) 923-1872
(941) 923-3947
Mailing address
PO BOX 25487, SARASOTA, FL 34277-2487
(941) 202-5342
(941) 202-5342
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
23141
WV
207RH0003X
Hematology & Oncology Physician
35091718
OH
207RH0003X
Hematology & Oncology Physician
Primary
ME163239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000570137
ANTHEM
OH
01
—
000000696928
ANTHEM
OH
05
—
2837167
—
OH
05
—
3810012110
—
WV
Enumeration date
04/25/2007
Last updated
01/30/2025
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