Provider Demographics
NPI:1972038578
Name:SIVAKUMAR, VANAJA THEEPA (MD)
Entity Type:Individual
Prefix:MS
First Name:VANAJA
Middle Name:THEEPA
Last Name:SIVAKUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MERCY ST. VINCENT MEDICAL CENTER
Mailing Address - Street 2:2213 CHERRY ST.
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-4554
Mailing Address - Fax:419-251-6795
Practice Address - Street 1:MERCY HEALTH FRANKLIN AVENUE PEDIATRICS
Practice Address - Street 2:2213 FRANKLIN ST.
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620
Practice Address - Country:US
Practice Address - Phone:419-251-2415
Practice Address - Fax:419-251-2242
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program