Subadra Sivakumaran MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 53303 Issued in FL

Legal business name

SUBADRA SIVAKUMARAN MD PA

Practice address

4520 NW 33Rd CT
Gainesville, FL 32606-5937

Phone

(352) 671-1111

Fax

(352) 671-1131

NPI assigned

Jul 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kandiah Sivakumaran

Title

Administrator

Phone

(352) 375-8710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ocala Medical Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Subadra Sivakumaran, MD

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1275592883
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1154350304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 NW 33RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065937",
            "telephone_number": "352-671-1111",
            "fax_number": "352-671-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 NW 33RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065937",
            "telephone_number": "352-671-1111",
            "fax_number": "352-671-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBADRA SIVAKUMARAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMARAN",
        "authorized_official_first_name": "KANDIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-375-8710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 53303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370645100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocala Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Li-Ming Su, M.D.
• Tay Su, MOT, OTR/L
• Carlos Adrian Suanes Zubizarreta, MD
• Idelisse Marie Suarez Maldonado, MD
• Merly Suarez, PHARMD
• Sreevidya Kannoorpatti Subbarayan, MD
• Kiona R Subramanian, MD
• Natrajan Raj Subramanian, M.D.
• Sankarasubramoney H Subramony, MD
• Success Speech Therapy, LLC

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.