Dr. Sivasanker Bakthavachalam
Pediatric Otolaryngology
5461 Meridian Marks Rd Ste 130
Atlanta
, Georgia 30342
Dr. Sivasanker Bakthavachalam
Pediatric Otolaryngology
5461 Meridian Marks Rd Ste 130
Atlanta
, Georgia 30342
(404) 255-2033
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Sivasanker Bakthavachalam
- 5461 Meridian Marks Rd Ste 130
- Atlanta, GA
- Zip : 30342-3009
- Phone : (404) 255-2033
Second Address
- Dr. Sivasanker Bakthavachalam
- 5461 Meridian Marks Rd Ste 130
- Atlanta, GA
- Zip : 30342
- Phone : (404) 255-2033
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FAQs
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Is Dr. Sivasanker Bakthavachalam board certified?
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What is Dr. Sivasanker Bakthavachalam ’s gender?
Is Dr. Sivasanker Bakthavachalam a sole practitioner?
Is Dr. Sivasanker Bakthavachalam accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 62182 | GA |
National Provider Identifier
| NPI | 1730390204 |
|---|---|
| Provider Name | Dr. Sivasanker Bakthavachalam |
| First Address | Atlanta, GA 30342-3009 |
| Second Address | Atlanta, GA 30342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2007 |
| Last Update Date | 31/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 903058052 | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.