Sivakumar, Divya
Sivakumar, Divya is an individual health care provider with primary practice located at 2300 Hrc Plaza Dr , Lake Saint Louis MO 63367-2367. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Sivakumar, Divya can be contacted via phone (636) 425-4673.Contact Information
Primary practice address
2300 Hrc Plaza Dr
Lake Saint Louis MO 63367-2367
Phone: (636) 425-4673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2021046762 | Missouri |
Profile Details
| NPI number | 1528419587 |
|---|---|
| LBN Legal business name | Sivakumar, Divya |
| Credentials | D.O., M.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Sep 5th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528419587 | NPPES |
| Wisconsin | MEDICAID | 1528419587 |
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