Sudhakar, Sivaram
Sudhakar, Sivaram is an sole proprietor health care provider with primary practice located at 1901 Medi Park Suite # 1062, Amarillo TX 79106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sudhakar, Sivaram can be contacted via phone (806) 463-1652.Contact Information
Primary practice address
1901 Medi Park Suite # 1062
Amarillo TX 79106
Phone: (806) 463-1652
Fax: (806) 463-1736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | H7836 | Texas |
Profile Details
| NPI number | 1497844112 |
|---|---|
| LBN Legal business name | Sudhakar, Sivaram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Nov 2nd, 2010 - about 16 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 | 1497844112 | NPPES |
| Texas | Other | H7836 | STATE LICENSE |
| Texas | MEDICAID | 130454506 | STATE LICENSE |
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