Muthumanimoli Sivakumaran, MD | |
1276 Halyard Dr, West Sacramento, CA 95691 | |
(855) 354-2242 | |
Not Available |
Full Name | Muthumanimoli Sivakumaran |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1276 Halyard Dr, West Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285713867 | NPI | - | NPPES |
001722754 | Other | WV | BCBS |
0110583000 | Medicaid | WV | |
550782614 | Other | WV | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C53008 (California) | Primary |
208000000X | Pediatrics | 18760B (West Virginia) | Secondary |
Entity Name | Elica Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548425853 PECOS PAC ID: 4385706845 Enrollment ID: O20090818000598 |
Entity Name | Communicare Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558366823 PECOS PAC ID: 0345299186 Enrollment ID: O20161129002365 |
Mailing Address | Practice Location Address |
---|---|
Muthumanimoli Sivakumaran, MD 1860 Howe Ave Ste 440, Sacramento, CA 95825-1098 Ph: (916) 569-8484 | Muthumanimoli Sivakumaran, MD 1276 Halyard Dr, West Sacramento, CA 95691 Ph: (855) 354-2242 |
Jessica Cheng, Pediatrics Medicare: Medicare Enrolled Practice Location: 1276 Halyard Dr, West Sacramento, CA 95691 Phone: 916-569-8484 | |
Yolanda Santana Tejeda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Stone Blvd Ste 100, West Sacramento, CA 95691 Phone: 916-371-3787 | |
Harini Racherla, Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Stone Blvd, #6m, West Sacramento, CA 95691 Phone: 917-704-7844 | |
Olga Kashlinskaya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Harbor Blvd, West Sacramento, CA 95691 Phone: 916-371-1616 Fax: 916-375-0706 | |
Colleen Callaghan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 155 15th St, Suite A, West Sacramento, CA 95691 Phone: 916-375-8990 |