Healthcare Provider Details

I. General information

NPI: 1316294929
Provider Name (Legal Business Name): SUVEKCHHA DEVKOTA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ROCHE BROS WAY
NORTH EASTON MA
02356-1038
US

IV. Provider business mailing address

31 ROCHE BROS WAY STE 210
NORTH EASTON MA
02356-1038
US

V. Phone/Fax

Practice location:
  • Phone: 508-894-8760
  • Fax: 508-894-0412
Mailing address:
  • Phone: 508-894-8760
  • Fax: 508-894-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD14983
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number290381
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: