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Praveen Sivakumaran, MD
Hematology & Oncology Physician in Lawrenceville, Georgia
NPI 1023226081

Praveen Sivakumaran is a Hematology & Oncology Physician based in Snellville, GA and is specialized in Hematology & Oncology. Praveen Sivakumaran practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Praveen Sivakumaran is 1023226081 and holds a License No. 073655 (Georgia).

The current practice location address for Praveen Sivakumaran is 631 Professional Dr Ste 450, Lawrenceville, GA and can be reached out via phone at 770-963-8030 and via fax at 770-339-9577.

Location: 631 Professional Dr Ste 450, Lawrenceville, GA, 30078-6756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023226081
Provider Name
Praveen Sivakumaran
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
631 Professional Dr Ste 450, Lawrenceville, GA, 30078-6756
Phone Number
770-963-8030
Fax Number
770-339-9577
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003159182B 05 GA
2021831397 01 GA PTAN
institution
Provider Business Practice Location Address Details
Address
631 Professional Dr Ste 450
City
Lawrenceville
State
Georgia
Zip
30046-3370
Phone Number
770-963-8030
Fax Number
770-339-9577
person
Provider Business Mailing Address Details
Address
631 Professional Dr Ste 450
City
Lawrenceville
State
Georgia
Zip
30046-3370
Phone Number
770-963-8030
Fax Number
770-339-9577
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
073655 (Georgia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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