Individual
DR. SIVA PADMANABHAN SIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 521-5973
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 521-5973
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
247647
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
280165
NY
207RP1001X
Pulmonary Disease Physician
247647
MA
Other
Enumeration date
11/29/2005
Last updated
01/24/2022
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