| Subburaman Sivakumar Md Pc | |
|
37650 Professional Cnt Dr Ste 1010a Livonia MI 48154 | |
| (734) 432-7070 | |
| (734) 432-5170 |
| Full Name | Subburaman Sivakumar Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 37650 Professional Cnt Dr, Livonia, Michigan |
| Authorized Official Name and Position | Subburaman Sivakumar (CEO) |
| Authorized Official Contact | 7344327070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Subburaman Sivakumar Md Pc 37650 Professional Cnt Dr Ste 1010a Livonia MI 48154 Ph: (734) 432-7070 | Subburaman Sivakumar Md Pc 37650 Professional Cnt Dr Ste 1010a Livonia MI 48154 Ph: (734) 432-7070 |
| NPI Number | 1386720324 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386720324 | NPI | - | NPPES |
| 4301165 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | SS065284 (Michigan) | Primary |
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