Sivakumar Ramu, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

14D2142429 Issued in IL

Practice address

603 Country Club Dr
Bensenville, IL 60106-1329

Phone

(630) 521-9708

NPI assigned

Jul 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiance Biosciences & Consultancy LLC

  • Clinical Medical Laboratory
  • Naperville, IL
  • NPI 1588280622
  NPD Authorized official

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1578040101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6558 TEALWOOD DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323276",
            "telephone_number": "312-259-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 COUNTRY CLUB DR",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601061329",
            "telephone_number": "630-521-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMU",
        "first_name": "SIVAKUMAR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "IL",
            "license": "14D2142429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Behavioral Health Services, P.C.
• Progressive Pharmacy
• Prosperritta Dental, PLLC
• Randolph Raj, PTA
• Thirunindravur L. Ramadorai, D.D.S.
• Amber Ratcliff
• Reliable Surgical Assistant Inc.
• Restoration Behavioral Health P.C.
• Alison Reyes, M.S. CCC-SLP
• Timothy H Reyes, M.S. CCC-SLP

• Clinical Laboratory Director (Non-physician) in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Clinical Laboratory Director (Non-physician) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.