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Individual
SIREESHA RUKKANNAGARI
Active
Individual
SIREESHA RUKKANNAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10698
RI
207R00000X
Internal Medicine Physician
Primary
M8301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191765001
—
TX
01
—
8AA838
BCBSTX
TX
05
—
SR42001
—
RI
Enumeration date
05/19/2006
Last updated
07/15/2009
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