Individual
DR. SIRISH VULLAGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(256) 328-1122
Mailing address
833 N CLARK ST UNIT 2713, CHICAGO, IL 60610-3424
(256) 328-1122
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
298510
NY
207RC0000X
Cardiovascular Disease Physician
036.137563
IL
207RC0000X
Cardiovascular Disease Physician
298510
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/27/2012
Last updated
07/19/2024
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