Sivaraman, Manjamalai
Sivaraman, Manjamalai is an individual health care provider with primary practice located at 402 N Keene St , Columbia MO 65201-8369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Sivaraman, Manjamalai can be contacted via phone (573) 882-1515.Contact Information
Primary practice address
402 N Keene St
Columbia MO 65201-8369
Phone: (573) 882-1515
Fax: (573) 884-0070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2001008016 | Missouri |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 2001008016 | Missouri |
Profile Details
| NPI number | 1174581094 |
|---|---|
| LBN Legal business name | Sivaraman, Manjamalai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 21st, 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 | 1174581094 | NPPES |
| Missouri | MEDICAID | 205912801 |
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