Panchamoorthy, Siva

Panchamoorthy, Siva is an sole proprietor health care provider with primary practice located at 59 Townsend St , Roxbury MA 02119-1318. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Panchamoorthy, Siva can be contacted via phone (617) 989-8228.

Contact Information

Primary practice address
59 Townsend St Roxbury MA 02119-1318
Phone: (617) 989-8228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1469 Massachusetts

Profile Details

NPI number 1558493874
LBN Legal business name Panchamoorthy, Siva
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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