Dr. Krishnan Sivaram, MD
Psychiatry & Neurology, Psychiatry in Canton, OH. Individual provider (NPI-1).
NPI number1144293176
StatusActive
Last updated in NPPESJun 25, 2018
Details
- NPI
- 1144293176
- Entity type
- Individual (NPI-1)
- Name
- Dr. Krishnan Sivaram
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2006
- Last updated
- Jun 25, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 3507265S | OH | Yes |
Practice location
625 Cleveland Ave NwCanton, OH 44702
Phone 330-455-0374 · Fax 330-453-6716
Mailing address
625 Cleveland Ave NwCanton, OH 44702-1805
Phone 330-455-0374 · Fax 330-455-2101
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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