Individual
MRS. SIREESHA MADDIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE NUMBER A-23, LITTLE ROCK, AR 72205-5302
(501) 558-9099
(501) 558-9091
Mailing address
500 S UNIVERSITY AVE, SUITE NUMBER A-23, LITTLE ROCK, AR 72205-5302
(501) 558-9099
(501) 558-9091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 2899
AR
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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