Individual
DR. SIRISHA PUPPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3285 S VAL VISTA DR, GILBERT, AZ 85297-7000
(480) 825-7219
Mailing address
3285 S VAL VISTA DR, GILBERT, AZ 85297-7000
(480) 825-7219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43258
AZ
207QA0505X
Adult Medicine Physician
4301088551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
567495
—
AZ
Enumeration date
07/13/2007
Last updated
07/21/2022
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