| 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 | 20 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 |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Oncology Services Llc | 1850627423 | 30 |
| 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: Medicare Enrolled 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 |