Praveen Sivakumaran, MD | |
631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | |
(770) 963-8030 | |
(770) 339-9577 |
Full Name | Praveen Sivakumaran |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 19 Years |
Location | 631 Professional Dr Ste 450, Lawrenceville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023226081 | NPI | - | NPPES |
003159182B | Medicaid | GA | |
2021831397 | Other | GA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 073655 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital | Atlanta, GA | Hospital |
Eastside Medical Center | Snellville, GA | Hospital |
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Atlanta Oncology Services Llc | 1850627423 | 24 |
Entity Name | Gwinnett Hospital System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952340994 PECOS PAC ID: 8123916426 Enrollment ID: O20040309000009 |
Entity Name | Gwinnett Physician Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Entity Name | North Atlanta Oncology Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871055434 PECOS PAC ID: 1850627423 Enrollment ID: O20190719002959 |
Mailing Address | Practice Location Address |
---|---|
Praveen Sivakumaran, MD 1700 Tree Ln Ste 490, Snellville, GA 30078-6756 Ph: (770) 979-2828 | Praveen Sivakumaran, MD 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 Ph: (770) 963-8030 |
Dr. Angus C Howard Jr., M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150 | |
Gary Mcmorris, MD Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 950 River Centre Pl, Lawrenceville, GA 30043 Phone: 770-682-1717 Fax: 770-682-1723 | |
Niraj Sharma, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr Ste 400, Lawrenceville, GA 30046 Phone: 404-962-6000 Fax: 404-962-6001 | |
Dr. Karuna Kusan, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043 Phone: 770-995-0466 Fax: 770-995-0472 | |
Mr. Spencer I Rozin, MD FACP Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046 Phone: 770-709-0900 Fax: 770-709-7444 | |
Dr. Yan Lin, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3294 |