VISAHARAN SIVASUBRAMANIAM M.D. NPI 1902801921

NPI Information

NPI: 1902801921
Provider Name: VISAHARAN SIVASUBRAMANIAM, M.D.
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
1380 HIGHWAY 192 E
LONDON, KY
ZIP 40741
Phone: (606) 862-0605
Get Directions

Visaharan Sivasubramaniam, M.D. is a medical oncology internal medicine in London, KY with 30 years of experience. The provider is 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. Visaharan Sivasubramaniam, M.D. NPI is 1902801921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1380 HIGHWAY 192 E
LONDON, KY
ZIP 40741-123
Phone: (606) 862-0605
Fax: (606) 862-4899

The NPI 1902801921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 2/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	38197	KENTUCKY	No
2	207RX0202X	Internal Medicine	Medical Oncology	38197	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	611308998	OTHER	KENTUCKY	TAX ID NUMBER
2	H85514	MEDICARE UPIN	KENTUCKY
3	0608109	MEDICARE PIN	KENTUCKY
4	000000325000	OTHER	KENTUCKY	BLUE CROSS BLUE SHEILD
5	P00107535	OTHER	KENTUCKY	RAILROAD MEDICARE
6	64071939	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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