NPI 1053530782

Simone Thavaseelan

Practitioner Urology Physician Providence, RI

Practice location

Address: 2 Dudley St STE 185, Providence, RI 02905-3247
Phone: (401) 444-5795
Mailing address: 195 Collyer St STE 201, Providence, RI 02904-1869

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD13391 (RI)

Other Urology providers in Rhode Island →

Registry record

NPI: 1053530782
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2007
Record last updated: 14 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.