Bellam, Siva P

Bellam, Siva P is an sole proprietor health care provider with primary practice located at 1700 Se Hillmoor Dr Ste 306, Port St Lucie FL 34952-7539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bellam, Siva P can be contacted via phone (772) 398-6016.

Contact Information

Primary practice address
1700 Se Hillmoor Dr Ste 306 Port St Lucie FL 34952-7539
Phone: (772) 398-6016
Fax: (772) 337-0320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME70221 Florida

Profile Details

NPI number 1275732174
LBN Legal business name Bellam, Siva P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2007
Last updated Feb 26th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275732174 NPPES
Florida Other 31481 BLUE CROSS BLUE SHIELD
Florida Other 830005561 BLUE CROSS BLUE SHIELD
Florida MEDICAID 250467700 BLUE CROSS BLUE SHIELD
Florida Other 2967902005 BLUE CROSS BLUE SHIELD

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