Individual
DR. SIRISHA SANAMANDRA
Active
Individual
DR. SIRISHA SANAMANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125059059
IL
207R00000X
Internal Medicine Physician
Primary
53495
CT
390200000X
Student in an Organized Health Care Education/Training Program
53495
CT
Other
Enumeration date
07/25/2011
Last updated
09/26/2014
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