Individual
DR. REBEKAH J DEVASAHAYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
65589
TN
208600000X
Surgery Physician
67482
GA
2086S0102X
Surgical Critical Care Physician
Primary
20203
ND
2086S0127X
Trauma Surgery Physician
PT20203
ND
Other
Enumeration date
07/07/2010
Last updated
06/27/2025
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