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1023226081
PRAVEEN SIVAKUMARAN
LAWRENCEVILLE, GA
NPI
1023226081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: GA 073655)
Enumeration Date
2007-05-21
Last Update Date
2021-03-10
Business Address
PRAVEEN SIVAKUMARAN MD
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA 30046-3370
Phone number: 770-963-8030
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Mailing Address
PRAVEEN SIVAKUMARAN MD
1700 TREE LN STE 490
SNELLVILLE, GA 30078-6756
Phone number: 770-979-2828
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