Individual
DR. SIRISHA DONEPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302-6416
(740) 375-6492
(740) 375-8166
Mailing address
L-3549, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1641
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35.093827
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
57.012878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2298556
—
OH
Enumeration date
04/17/2006
Last updated
12/15/2021
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