Subburaman Sivakumar MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SS065284 Issued in MI

Legal business name

SUBBURAMAN SIVAKUMAR MD PC

Practice address

37650 Professional CNT Dr
Ste 1010a
Livonia, MI 48154

Phone

(734) 432-7070

Fax

(734) 432-5170

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Subburaman Sivakumar, MDNPI 1073514873

Title

Ceo

Phone

(734) 432-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Subburaman Sivakumar, M.D D.O

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1073514873
  NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1386720324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CNT DR",
            "address_2": "STE 1010A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-432-7070",
            "fax_number": "734-432-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CNT DR",
            "address_2": "STE 1010A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-432-7070",
            "fax_number": "734-432-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBURAMAN SIVAKUMAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMAR",
        "authorized_official_first_name": "SUBBURAMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-432-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SS065284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301165",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Stumpf, PT, DPT
• Keondanaya Janie Sturdivant
• Amadeo R. Sturla, M.D.
• Kurt Stutz, M.DIV, M.S.W.
• McKenzie Suarez-Stankiewicz, MD
• Suburban Optometrics Assoc P C
• Successful Living Afc
• Successfully Living Inc
• Christine Suh
• Suhasini S Mistry MD PLC

• Internal Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.