MEDICARE: SUSANTH SIVARAMAN 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	207Q00000X	Family Medicine Physician	18547	NV
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207Q00000X	Family Medicine Physician	S6741	TX

General Provider Information

NPI Number	:	1578950945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANTH SIVARAMAN M.D.

Provider Business Mailing Address
First Line	:	4306 DALEA CLOVER LN
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-3966
Country	:	US
Telephone Number	:	702-538-0608
Fax Number	:

Provider Business Practice Location Address
First Line	:	2707 MILAM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3544
Country	:	US
Telephone Number	:	832-632-7135
Fax Number	:

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

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	09/20/2024

Similar Medicare Providers

1689034993 — MEDSPRING OF TEXAS, PA
Practice Location Address:

2707 MILAM ST
HOUSTON, TX
77006-3544

Practice Phone: 888-980-0505
Practice Fax: 512-485-7393

1376132167 — JING YANG
Practice Location Address:

2707 MILAM ST
HOUSTON, TX
77006-3544

Practice Phone: 832-632-7135
Practice Fax:

1710058284 — MR. JERRY D CLARK LPC
Practice Location Address:

1830 NASA PKWY STE 104
HOUSTON, TX
77058-3544

Practice Phone: 281-335-8422
Practice Fax: 281-335-0702

1679774152 — ASIF M CHAUDHRY M.D.
Practice Location Address:

2100 WEST LOOP S STE 400
HOUSTON, TX
77027-3544

Practice Phone: 832-436-4040
Practice Fax: 832-436-4050

1487986899 — ALISHA HOCKLESS
Practice Location Address:

9200 WESTHEIMER RD APT 1201
HOUSTON, TX
77063-3544

Practice Phone: 281-543-8337
Practice Fax:

1083919955 — ASIF CHAUDHRY MD PLLC
Practice Location Address:

2100 WEST LOOP S STE 400
HOUSTON, TX
77027-3544

Practice Phone: 832-436-4040
Practice Fax: 832-436-4050

Directions to “ SUSANTH SIVARAMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.