Sivakumaran, Muthumanimoli
Sivakumaran, Muthumanimoli is an sole proprietor health care provider with primary practice located at 1276 Halyard Dr , West Sacramento CA 95691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sivakumaran, Muthumanimoli can be contacted via phone (855) 354-2242.Contact Information
Primary practice address
1276 Halyard Dr
West Sacramento CA 95691
Phone: (855) 354-2242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C53008 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18760B | West Virginia |
Profile Details
| NPI number | 1285713867 |
|---|---|
| LBN Legal business name | Sivakumaran, Muthumanimoli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Sep 7th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285713867 | NPPES |
| West Virginia | Other | 001722754 | BCBS |
| West Virginia | MEDICAID | 0110583000 | BCBS |
| West Virginia | Other | 550782614 | BCBS |
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