Roshan Sivagnanam, MD | |
160 Allen St, Rutland, VT 05701-4560 | |
(802) 747-3650 | |
Not Available |
Full Name | Roshan Sivagnanam |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 160 Allen St, Rutland, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679611552 | NPI | - | NPPES |
0006373 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 042-0007282 (Vermont) | Primary |
Entity Name | Rutland Radiologists, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700935780 PECOS PAC ID: 3971512724 Enrollment ID: O20060406000396 |
Mailing Address | Practice Location Address |
---|---|
Roshan Sivagnanam, MD 160 Allen St, Rutland, VT 05701-4560 Ph: (802) 747-3650 | Roshan Sivagnanam, MD 160 Allen St, Rutland, VT 05701-4560 Ph: (802) 747-3650 |
Dr. James N Rademacher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-775-7111 | |
Dr. Jed Alan Hummel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-3650 Fax: 802-747-1754 | |
Daniel Mitchell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-3650 | |
Jason Mark Beckta, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-1831 | |
Dr. Trent W Shelton, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-3650 Fax: 802-747-1754 | |
Andrew Boyer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-3650 | |
Dr. Richard Dana Lovett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 Allen St, Rutland, VT 05701 Phone: 802-747-1831 Fax: 802-747-1826 |