Sivakumar Medical Pllc | |
99 Wall St Ste 475 New York NY 10005-4301 | |
(917) 284-8973 | |
Not Available |
Full Name | Sivakumar Medical Pllc |
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Speciality | Clinic/Center |
Location | 99 Wall St Ste 475, New York, New York |
Authorized Official Name and Position | Haran Sivakumar (FOUNDER) |
Authorized Official Contact | 9172848973 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sivakumar Medical Pllc 99 Wall St Ste 475 New York NY 10005-4301 Ph: (917) 284-8973 | Sivakumar Medical Pllc 99 Wall St Ste 475 New York NY 10005-4301 Ph: (917) 284-8973 |
NPI Number | 1700594348 |
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Provider Enumeration Date | 11/14/2022 |
Last Update Date | 02/20/2023 |
Certification Date | 02/20/2023 |
Medicare PECOS PAC ID | 7911447305 |
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Medicare Enrollment ID | O20240912000784 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700594348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Haran Sivakumar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982109740 PECOS PAC ID: 8123453347 Enrollment ID: I20230105001822 |
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