Individual
DR. NAGA SRINIVAS SIRIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2 GOOD SAMARITAN WAY STE 420, MOUNT VERNON, IL 62864-2478
(618) 899-4000
Mailing address
7 WARWICK LN, MOUNT VERNON, IL 62864-2344
(270) 535-1914
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036137471
IL
207RP1001X
Pulmonary Disease Physician
Primary
CV2103226
IN
Other
Enumeration date
04/18/2008
Last updated
01/09/2023
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