Individual
SHIRIN SIOSHANSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8311
Mailing address
117 ELLENFIELD ST, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
247683
MA
2085R0001X
Radiation Oncology Physician
Primary
MD20329
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089056A
—
MA
Enumeration date
09/13/2007
Last updated
01/14/2025
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