Provider Demographics
NPI:1134178981
Name:SIEVERS, HARVEY (MD)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:
Last Name:SIEVERS
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 1:10801 N MICHIGAN RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8170
Mailing Address - Country:US
Mailing Address - Phone:317-344-1235
Mailing Address - Fax:317-344-1210
Practice Address - Street 1:10801 N MICHIGAN RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8170
Practice Address - Country:US
Practice Address - Phone:317-344-1235
Practice Address - Fax:317-344-1210
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065492A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD92359Medicare UPIN