Individual
DR. SIRISHA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10128 W BROAD ST, SUITE J, GLEN ALLEN, VA 23060-6761
(804) 955-4852
(855) 392-9700
Mailing address
10128 W BROAD ST, SUITE J, GLEN ALLEN, VA 23060-6761
(804) 955-4852
(855) 392-9700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101242464
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101242464
VA
Other
Enumeration date
07/16/2006
Last updated
03/07/2017
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