Sreehari Sivasubramanian

NPI 1619126265 · on the registry since 2008 · sole proprietor

Practice

Address: 1960 28th St Se
Suite B
Grand Rapids, MI 49508
Phone: (616) 475-9888
Fax: (616) 475-9889
Organisation at this address: Kent Vision Centers Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan