Sivaraman, Srikant

Sivaraman, Srikant is an sole proprietor health care provider with primary practice located at 1401 Court Street , Pueblo CO 81003-2715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sivaraman, Srikant can be contacted via phone (719) 562-2300.

Contact Information

Primary practice address
1401 Court Street Pueblo CO 81003-2715
Phone: (719) 562-2300
Fax: (719) 543-4963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X P29788 Maryland
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X DR.0061771 Colorado

Profile Details

NPI number 1881959005
LBN Legal business name Sivaraman, Srikant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2012
Last updated Aug 5th, 2019 - about 7 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 1881959005 NPPES
Colorado MEDICAID 9000171356

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