Individual provider · Type 1 NPI

Supriya Sivadanam, MD

Student in an Organized Health Care Education/Training Program · Chapel Hill, NC

NPI number 1740037548 Active

Practice location

6013 Farrington Rd Ste 301
Chapel Hill, NC 27517-8173

Mailing address

Pediatric Education Office Campus Box 7593
Chapel Hill, NC 27599-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XSIVA-R0DGI2 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740037548

Supriya Sivadanam, MD's National Provider Identifier is 1740037548, issued on May 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chapel Hill, NC. The record was last updated on May 1, 2024.