Individual
SIRISHA GUTHIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 430, CANTON, GA 30115-8020
(770) 765-3766
Mailing address
12460 CRABAPPLE RD STE 202-158, ALPHARETTA, GA 30004-6602
(770) 765-3766
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
80747
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217760
—
NJ
Enumeration date
05/18/2007
Last updated
08/27/2021
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