ROSHAN SIVAGNANAM M.D. NPI 1679611552

NPI Information

  • NPI: 1679611552
  • Provider Name: ROSHAN SIVAGNANAM, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 160 ALLEN ST
    RUTLAND, VT
    ZIP 05701
  • Phone: (802) 747-3650

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NPI Details

Roshan Sivagnanam, M.D. is a diagnostic radiology radiology in Rutland, VT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Roshan Sivagnanam, M.D. NPI is 1679611552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

160 ALLEN ST
RUTLAND, VT
ZIP 05701-560
Phone: (802) 747-3650

The enumeration date for this NPI number is 2/2/2007 and was last updated on 1/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology042-0007282VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10006373MEDICAIDVERMONT
2B85661MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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