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Visaharan Sivasubramaniam, MD
Medical Oncology Physician in London, Kentucky
NPI 1902801921

Visaharan Sivasubramaniam is a Medical Oncology Physician based in London, KY and is specialized in Medical Oncology. Visaharan Sivasubramaniam practices in London, KY and has the professional credentials of MD. The NPI Number for Visaharan Sivasubramaniam is 1902801921 and holds a License No. 38197 (Kentucky).

The current practice location address for Visaharan Sivasubramaniam is 1380 Highway 192 E, London, KY and can be reached out via phone at 606-862-0605 and via fax at 606-862-4899. You can also correspond with Visaharan Sivasubramaniam through the mailing address at 73 THOMPSON POYNTER ROAD, LONDON, KY - 40741 (mailing address contact number: 606-862-0605).

Location: 1380 Highway 192 E, London, KY, 40741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902801921
Provider Name
Visaharan Sivasubramaniam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1380 Highway 192 E, London, KY, 40741
Phone Number
606-862-0605
Fax Number
606-862-4899
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64071939 05 KY
000000325000 01 KY BLUE CROSS BLUE SHEILD
P00107535 01 KY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1380 Highway 192 E
City
London
State
Kentucky
Zip
40741-3123
Phone Number
606-862-0605
Fax Number
606-862-4899
person
Provider Business Mailing Address Details
Address
73 Thompson Poynter Road
City
London
State
Kentucky
Zip
40741
Phone Number
606-862-0605
Fax Number
606-862-4899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
38197 (Kentucky)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
38197 (Kentucky)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
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