Nallam, Siva Pavani

Nallam, Siva Pavani is an individual health care provider with primary practice located at 2349 N California St , Stockton CA 95204-5505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Nallam, Siva Pavani can be contacted via phone (209) 469-2229.

Contact Information

Primary practice address
2349 N California St Stockton CA 95204-5505
Phone: (209) 469-2229
Fax: (209) 466-2436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A161250 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD462023 Pennsylvania

Profile Details

NPI number 1659702819
LBN Legal business name Nallam, Siva Pavani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated Mar 29th, 2022 - about 4 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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