MEDICARE: SIVAKUMAR RAMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0061827	MD
2	207R00000X	Internal Medicine Physician	ME100391	FL
3	207R00000X	Internal Medicine Physician	25MA08650500	NJ
4	207RI0200X	Infectious Disease Physician	ME100391	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14H3T	OTHER	FL	FLORIDA BLUE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245239011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIVAKUMAR RAMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3098
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34478-3098
Country	:	US
Telephone Number	:	239-244-9560
Fax Number	:	239-244-9481

Provider Business Practice Location Address
First Line	:	14192 METROPOLIS AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4331
Country	:	US
Telephone Number	:	239-244-9560
Fax Number	:	239-244-9481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/16/2016

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Directions to “ SIVAKUMAR RAMAN M.D.” Practice Location

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