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Contact Information

KUMARASWAMY SIVAKUMAR, MD
4545 E SHEA BLVD
STE 175
PHOENIX, AZ85028-3074
 Phone: 480-314-1007
 Fax: 480-314-1003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Infusion Therapy

261QI0500X
 

Neurology

2084N0400X 13 Physician/Neurology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KUMARASWAMY SIVAKUMAR · (Male)

NPI Number 1821035254
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 08/08/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 25540
  • AZ Medicaid 393108
Hospital affiliation(s)
  • BANNER THUNDERBIRD MEDICAL CENTER - (Acute Care)
    5555 WEST THUNDERBIRD ROAD
    GLENDALE, AZ 85306
  • ST JOSEPH'S HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 WEST THOMAS ROAD
    PHOENIX, AZ 85013
  • YAVAPAI REGIONAL MEDICAL CENTER - (Acute Care)
    1003 WILLOW CREEK ROAD
    PRESCOTT, AZ 86301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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