Individual
MR. PATRICK N SIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, RVT
Contact information
Practice address
7811 BISCAYNE RD, RICHMOND, VA 23294-3403
(804) 747-0030
Mailing address
7811 BISCAYNE RD, RICHMOND, VA 23294-3403
(804) 756-1300
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
V09209000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00897450
RR MEDICARE
VA
01
—
V09209000
LICENSE
VA
Enumeration date
08/26/2013
Last updated
08/26/2013
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