Individual
DEVYANI SIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1076 N MAIN ST STE 3, PROVIDENCE, RI 02904-5760
(401) 861-7711
(401) 421-5710
Mailing address
1076 N MAIN ST STE 3, PROVIDENCE, RI 02904-5760
(401) 861-7711
(401) 421-5710
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD19768
RI
390200000X
Student in an Organized Health Care Education/Training Program
280073
MA
Other
Enumeration date
07/26/2019
Last updated
06/05/2024
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