Individual
DR. PRADEEP SIWACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS, DCH,
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7796
Mailing address
1906 BELLEVIEW AVE SE, DEPTT OF NEONATOLOGY, 13TH FLOOR, ROANOKE, VA 24014-1838
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101253692
VA
Other
Enumeration date
02/23/2010
Last updated
05/04/2015
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