NPI 1679611552 · live from the CMS NPI Registry
Roshan Sivagnanam, M.D.
Radiology, Diagnostic Radiology in Rutland, VT. National Provider Identifier 1679611552, active.
NPI record
| NPI | 1679611552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 160 Allen St, Rutland, VT 05701 |
| Practice phone | 802-747-3650 |
| Enumerated | February 2, 2007 |
| Last updated | January 9, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0007282 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.