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Contact Information

SIYAMEK NERAGI MIANDOAB, MD
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-5891
 Fax: 401-444-8158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SIYAMEK NERAGI MIANDOAB · (Male)

NPI Number 1053676809
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2012
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • RI License # MD19723
  • NH Medicaid 3094855
  • NY Medicaid 1053676809
Hospital affiliation(s)
  • DUBOIS REGIONAL MEDICAL CENTER - (Acute Care)
    100 HOSPITAL AVENUE
    DUBOIS, PA 15801
  • MARY IMOGENE BASSETT HOSPITAL - (Acute Care)
    ONE ATWELL ROAD
    COOPERSTOWN, NY 13326
  • ST VINCENT HOSPITAL - (Acute Care)
    123 SUMMER STREET
    WORCESTER, MA 01608
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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