Individual
SANDHYA SIRIPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2555 COURT DR, SUITE 270, GASTONIA, NC 28054-2134
(704) 834-4390
(704) 834-3274
Mailing address
2555 COURT DR, SUITE 270, GASTONIA, NC 28054-2134
(704) 834-4390
(704) 834-3274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-01339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910595
—
NC
Enumeration date
08/08/2008
Last updated
07/14/2016
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