Individual
MR. PATRICK N SIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, RVT
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
Update your record
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