Individual
SIRISHA A DURBHAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
903 RUSSELL AVE, GAITHERSBURG, MD 20879-3282
(301) 869-2292
(301) 869-4223
Mailing address
903 RUSSELL AVE, GAITHERSBURG, MD 20879-3282
(301) 869-2292
(301) 869-4223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0061902
MD
Other
Enumeration date
06/22/2005
Last updated
05/24/2012
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