Provider Demographics
NPI:1639842107
Name:JAMUNA SIVAKANTHAN MEDICAL REHAB INC
Entity Type:Organization
Organization Name:JAMUNA SIVAKANTHAN MEDICAL REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVAKANTHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-717-7823
Mailing Address - Street 1:12101 MARQUISE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-9429
Mailing Address - Country:US
Mailing Address - Phone:407-717-7823
Mailing Address - Fax:
Practice Address - Street 1:4500 MORNING DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-7275
Practice Address - Country:US
Practice Address - Phone:407-717-7823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty