Provider Demographics
NPI:1003046384
Name:RAMAKRISHNAN, SIVAPRIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SIVAPRIYA
Middle Name:
Last Name:RAMAKRISHNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6362 E CALLE CAVILLO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-1262
Mailing Address - Country:US
Mailing Address - Phone:520-917-7045
Mailing Address - Fax:
Practice Address - Street 1:1628 NORTH ALVERNON WAY
Practice Address - Street 2:TUCSON CENTRAL PEDIATRICS
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-325-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101244102208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics