Individual ProviderNithila SivakumarStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th Street, Stop 9410, Lubbock, TX 79430(669) 629-0330PECOS EnrollmentBased on the most recent information from CMS, provider Nithila Sivakumar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1629964309Provider TypeIndividualFull NameSivakumar, NithilaGenderFemaleSole ProprietorYesEnumeration Date6/17/2025Last Updated6/17/2025Contact InformationPractice LocationPractice Address3601 4th Street, Stop 9410, Lubbock, TX 79430Phone(669) 629-0330FaxUnlisted FaxMailing LocationMailing Address3601 4th Street, Stop 9410, Lubbock, TX 79430PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer