Individual
SIREESHA DASARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2610 CAMDEN AVE, PARKERSBURG, WV 26101-5652
(304) 917-3733
(304) 917-3744
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23651
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381001660
—
WV
Enumeration date
05/24/2007
Last updated
04/02/2020
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