Provider Demographics
NPI:1275018038
Name:CUMBERLAND RHEUMATOLOGY
Entity Type:Organization
Organization Name:CUMBERLAND RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIVALINGAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KANAGASEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-787-2741
Mailing Address - Street 1:49 CLEVELAND ST STE 210
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-2854
Mailing Address - Country:US
Mailing Address - Phone:931-787-1477
Mailing Address - Fax:931-787-1478
Practice Address - Street 1:49 CLEVELAND ST STE 210
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-2854
Practice Address - Country:US
Practice Address - Phone:931-787-1477
Practice Address - Fax:931-787-1478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty