Provider Demographics
NPI:1871392225
Name:SIVAGNANADASAN, ROHINI
Entity type:Individual
Prefix:
First Name:ROHINI
Middle Name:
Last Name:SIVAGNANADASAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 VIRGINIA AVE NW APT 404
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1938
Mailing Address - Country:US
Mailing Address - Phone:303-319-0527
Mailing Address - Fax:
Practice Address - Street 1:2601 VIRGINIA AVE NW APT 404
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1938
Practice Address - Country:US
Practice Address - Phone:303-319-0527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program