Subadra Sivakumaran Md Pa

NPI 1154350304 - Family Medicine - 207Q00000X

NPI Details
NPI 1154350304
Enumeration Date 07/01/2006
Last Updated 08/26/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KANDIAH KANDIAH
Position ADMINISTRATOR
Phone (352) 671-1111
Fax (352) 671-1131
Practice Location
4520 NW 33RD CT
GAINESVILLE FL, 32606-5937, US
Phone (352) 671-1111
Fax (352) 671-1131
Business Location
4520 NW 33RD CT
GAINESVILLE FL, 32606-5937, US
Phone (352) 671-1111
Fax (352) 671-1131
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME 53303
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According to our database, Subadra Sivakumaran Md Pa NPI is 1154350304, taxonomy code is 207Q00000X and license number is ME 53303, license state is located at Florida. Subadra Sivakumaran Md Pa physically located at 4520 Nw 33rd Ct, Gainesville FL, 32606-5937. NPI Number 1033115704 has the healthcare provider type.

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1154350304 NPI number is provided on an as is basis without warranty of any kind. 1154350304 is maintained by the National Plan & Provider Enumeration System. The contents of Subadra Sivakumaran Md Pa are for informational purposes only.