Individual
DR. SIVA RAMA KRISHNA MARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1698 E MCANDREWS RD STE 400, MEDFORD, OR 97504-5590
(541) 732-7960
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 373-2850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN14672
FL
207RP1001X
Pulmonary Disease Physician
Primary
MD180848
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500721239
—
OR
Enumeration date
07/22/2010
Last updated
10/20/2020
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