Provider Demographics
NPI:1699933200
Name:SEQUEIRA, ROGER D (MD)
Entity type:Individual
Prefix:MR
First Name:ROGER
Middle Name:D
Last Name:SEQUEIRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:213 S JEFFERSON ST STE 625
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5372
Mailing Address - Fax:540-224-5684
Practice Address - Street 1:2900 LAMB CIR
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6344
Practice Address - Country:US
Practice Address - Phone:540-731-2810
Practice Address - Fax:540-731-2526
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2023-03-21
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Provider Licenses
StateLicense IDTaxonomies
NY2494062085R0202X
VA01012737872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology