Sivasubramaniam, Visaharan

Sivasubramaniam, Visaharan is an individual health care provider with primary practice located at 207 Foote Ave , Jamestown NY 14701-7077. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Sivasubramaniam, Visaharan can be contacted via phone (716) 487-0141.

Contact Information

Primary practice address
207 Foote Ave Jamestown NY 14701-7077
Phone: (716) 487-0141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 310496 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 38197 Kentucky
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 310496 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 38197 Kentucky
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 310496 New York

Profile Details

NPI number 1902801921
LBN Legal business name Sivasubramaniam, Visaharan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 21st, 2024 - about 2 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 1902801921 NPPES
Kentucky Other 000000325000 BLUE CROSS BLUE SHEILD
Kentucky Other P00107535 BLUE CROSS BLUE SHEILD
Kentucky MEDICAID 64071939 BLUE CROSS BLUE SHEILD

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