Individual
DR. SIRISHA MANDADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2241 THEODORE ST, CREST HILL, IL 60403-1881
(815) 741-1700
(815) 741-8511
Mailing address
4627 CEDAR DR, NAPERVILLE, IL 60564-1155
(203) 921-5269
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
021002794
IL
1223P0700X
Prosthodontics
1001977
WI
Other
Enumeration date
02/06/2012
Last updated
09/11/2019
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