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Individual
SAILAJA SIVAREDDY
Active
Individual
SAILAJA SIVAREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241662
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
241662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02869107
—
NY
Enumeration date
11/16/2006
Last updated
07/26/2018
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