Provider Demographics
NPI:1376710038
Name:PARAMASIVAM, SIVA BHARATHI (MD)
Entity Type:Individual
Prefix:MR
First Name:SIVA
Middle Name:BHARATHI
Last Name:PARAMASIVAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628/342 STATE BANK COLONY - 2
Mailing Address - Street 2:MEYANOOR
Mailing Address - City:SALEM
Mailing Address - State:TAMIL NADU
Mailing Address - Zip Code:636004
Mailing Address - Country:IN
Mailing Address - Phone:91944-223-5353
Mailing Address - Fax:
Practice Address - Street 1:628/342 STATE BANK COLONY - 2
Practice Address - Street 2:MEYANOOR
Practice Address - City:SALEM
Practice Address - State:TAMIL NADU
Practice Address - Zip Code:636004
Practice Address - Country:IN
Practice Address - Phone:91944-223-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program