Eellan Sivanesan M.D.

NPI 1215291232 - Internal Medicine - 207R00000X

NPI Details
NPI 1215291232
Gender Male
Enumeration Date 06/25/2012
Last Updated 03/22/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
1611 NW 12TH AVE
MIAMI FL, 33136-1005, US
Phone (305) 585-6920
Fax
Business Location
1611 NW 12TH AVE
MIAMI FL, 33136-1005, US
Phone (305) 585-6920
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125061895
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According to our database, Eellan Sivanesan M.D. NPI is 1215291232, taxonomy code is 207R00000X and license number is 125061895, license state is located at Illinois. Eellan Sivanesan M.D. physically located at 1611 Nw 12th Ave, Miami FL, 33136-1005. NPI Number Eellan Sivanesan M.D. has the Individual type.

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1215291232 NPI number is provided on an as is basis without warranty of any kind. 1215291232 is maintained by the National Plan & Provider Enumeration System. The contents of Eellan Sivanesan M.D. are for informational purposes only.