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General NPI Number Information
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NPI Number | 1437000908
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Entity Type | Organization
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Legal Business Name | MAURAN SIVANANTHAN, DO, PLLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 2723 S STATE ST STE 150
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City | ANN ARBOR
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State | MI
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Zip | 48104-6188
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Country | US
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Telephone | 734-210-1525
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Fax | 734-526-6745
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Provider Business Mailing Address
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Address Line | 2723 S STATE ST STE 150
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City | ANN ARBOR
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State | MI
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Zip | 48104-6188
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Country | US
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Telephone | 734-210-1525
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Fax | 734-526-6745
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAURAN SIVANANTHAN
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Credential | DO
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Telephone | 734-210-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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