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Individual

DR. KAVITHA R SIVARAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 569-3741
(513) 984-4020
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 569-3741
(513) 984-4020

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35126481
OH
207W00000X
Ophthalmology Physician
48430
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0139528
OH
Enumeration date
06/24/2010
Last updated
08/12/2015
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