National Provider Identifier
Visaharan Sivasubramaniam, M.D.
Visaharan Sivasubramaniam, M.D. is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician in Jamestown, NY and a listed phone number of (716) 487-0141.
Profile Overview
- NPI
- 1902801921
- Provider Type
- Individual
- Primary Specialty
- Hematology & Oncology Physician
- Enumeration Date
- June 16, 2005
- Last Updated
- June 21, 2024
Practice Location
- 207 Foote Ave
- Jamestown, NY 14701-7077
Phone: (716) 487-0141
Specialties
- Hematology & Oncology Physician (207RH0003X)
- Hematology & Oncology Physician (207RH0003X)
- Hematology (Internal Medicine) Physician (207RH0000X)
- Medical Oncology Physician (207RX0202X)
Full Record
- NPI
- 1902801921
- Entity Type
- Individual
- Last Name
- Sivasubramaniam
- First Name
- Visaharan
- Credential
- M.D.
- Mailing Street Address
- 207 Foote Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-7077
- Mailing Country
- US
- Mailing Phone
- (716) 487-0141
- Practice Street Address
- 207 Foote Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-7077
- Practice Country
- US
- Practice Phone
- (716) 487-0141
- Enumeration Date
- June 16, 2005
- Last Updated
- June 21, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hematology & Oncology Physician (207RH0003X), Hematology & Oncology Physician (207RH0003X), Hematology (Internal Medicine) Physician (207RH0000X), Medical Oncology Physician (207RX0202X)
- Other Identifiers
- 000000325000 (KY, Blue Cross Blue Sheild), P00107535 (KY, Railroad Medicare), 64071939 (KY)