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Individual

MAMATHA SIRICILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.B.B.S

Contact information

Practice address
3581 PALMER DR STE 400, CAMERON PARK, CA 95682-8237
(530) 676-6600
Mailing address
3581 PALMER DR STE 400, CAMERON PARK, CA 95682-8237
(530) 676-6600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A148859
CA
207RH0000X
Hematology (Internal Medicine) Physician
A148859
CA
207RH0003X
Hematology & Oncology Physician
148859
CA
207RX0202X
Medical Oncology Physician
Primary
A148859
CA

Other

Enumeration date
07/19/2010
Last updated
10/08/2024
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