| Sivakumar Medical Pllc | |
|
99 Wall St Ste 475 New York NY 10005-4301 | |
| (917) 284-8973 | |
| Not Available |
| Full Name | Sivakumar Medical Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Medicare PECOS PAC ID | 7911447305 |
|---|---|
| Medicare Enrollment ID | O20240912000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700594348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Haran Sivakumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982109740 PECOS PAC ID: 8123453347 Enrollment ID: I20230105001822 |
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