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SIVA SUNDEEP KOPPOLU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
3401 SPRINGHILL DR STE 490, NORTH LITTLE ROCK, AR 72117-2933
(501) 945-8838
(501) 945-8835
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 945-8838
(501) 945-8835

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-15382
AR
2084P0800X
Psychiatry Physician
TEP 7768
NE

Other

Enumeration date
09/01/2016
Last updated
09/16/2022
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