SUBBURAMAN SIVAKUMAR (NPI# 1073514873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073514873 |
| Entity Type | Individual |
| Full Name | SUBBURAMAN SIVAKUMAR |
| Credential | M.D D.O |
| Practice Address |
37650 Professional Center Dr Ste 1010a Livonia MI 48154-1197 |
| Practice Telephone | 7344327070 |
| Practice Fax Number | 7344325170 |
| Mailing Telephone | 7344327070 |
| Mailing Fax Number | 7344325170 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2009-11-13 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | SS065284 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4301165 | 05 | |
| MI | CIGNA | 2310443 | 01 |
| MI | AETNA | 2604488 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 1108268931 | 01 |
| Street Address |
37650 PROFESSIONAL CENTER DR STE 1010A |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174916225 | Sivakumar Medical Group | Skilled Nursing Facility | 37650 Professional Center Dr, Livonia, MI 48154-1197 | 2015-03-13 |
| 1194024364 | Salim A Hamadeh | Internal Medicine | 37650 Professional Center Dr, Suite 1010a, Livonia, MI 48154-1197 | 2011-03-27 |
| 1750699716 | Meghan Kathleen Malley | Physical Therapist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48154-1197 | 2010-09-23 |
| 1750608345 | Jacqueline Fabello-gamiao Md PC | Internal Medicine | 37650 Professional Center Dr, Stuite 100a, Livonia, MI 48154-1197 | 2010-04-23 |
| 1124258330 | Timothy Victor Moxie | Physical Therapist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48154-1197 | 2009-07-22 |
| 1902036114 | Matthew C. Drake | Specialist/Technologist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48154-1197 | 2009-07-22 |
| 1891904405 | Avanti Home Health Care Pllc | Home Health | 37650 Professional Center Dr, Ste 145-a, Livonia, MI 48154-1197 | 2007-05-21 |
| 1659498756 | Gwen M Dani | Physical Therapist | 37650 Professional Center Dr, Suite 105a, Livonia, MI 48152 | 2007-03-23 |
| 1568533768 | Adult Diabetes & Endocrine Consultants, Plc | Internal Medicine | 37650 Professional Center Dr, Suite 100a, Livonia, MI 48154-1197 | 2006-11-11 |
| 1508955709 | Attractive Eyewear Inc | Technician/Technologist | 37650 Professional Center Dr, 125 A, Livonia, MI 48154-1139 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722446 | Sindhu Ramesh Md Pllc | Internal Medicine | 17177 N Laurel Park Dr Ste 439, Livonia, MI 48152-3938 | 2016-11-11 |
| 1902167737 | Rachel B Marcucci | Internal Medicine | 14600 Farmington Rd Ste 105, Livonia, MI 48154-5431 | 2012-06-07 |
| 1255656989 | Somnath Chowdhury | Internal Medicine | 20280 Middlebelt Rd Ste 500, Livonia, MI 48152-2002 | 2010-04-06 |
| 1932300803 | Middlebelt Medical Center, Plc | Internal Medicine | 16322 Middlebelt Rd, Livonia, MI 48154-3316 | 2007-05-30 |
| 1689875726 | Livernois Clinic, P.C. | Internal Medicine | 17330 Farmington Rd, Livonia, MI 48152-3158 | 2007-05-29 |
| 1013132240 | Infinity Primary Care Pllc | Internal Medicine | 20276 Middlebelt, Suite 7, Livonia, MI 48152-2054 | 2007-04-14 |
| 1083759039 | Levan Internists PC | Internal Medicine | 15130 Levan Rd, Livonia, MI 48154-5027 | 2007-02-20 |
| 1235278805 | Miracle Visiting Professionals, Inc. | Internal Medicine | 16989 Farmington Rd, Livonia, MI 48154-2946 | 2007-02-06 |
| 1386781490 | Mark Petrous | Internal Medicine | 20224 Farmington Rd, Livonia, MI 48152 | 2007-01-30 |
| 1144386426 | Reva Morale Mccaskill | Internal Medicine | 17800 Newburgh Road, Suite 103, Livonia, MI 48152 | 2006-12-29 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.