Thavaseelan, Simone
Thavaseelan, Simone is an individual health care provider with primary practice located at 2 Dudley St Ste 185 , Providence RI 02905-3247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Thavaseelan, Simone can be contacted via phone (401) 444-5795.Contact Information
Primary practice address
2 Dudley St Ste 185
Providence RI 02905-3247
Phone: (401) 444-5795
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD13391 | Rhode Island |
Profile Details
| NPI number | 1053530782 |
|---|---|
| LBN Legal business name | Thavaseelan, Simone |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Oct 14th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053530782 | NPPES |
| Rhode Island | Other | 349005986 | MEDICARE GROUP PTAN |
| Rhode Island | Other | 1659463230 | MEDICARE GROUP PTAN |
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