Individual
SIRISHA VADALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3534 E GLENROSA AVE, PHOENIX, AZ 85018-3902
(240) 475-4982
Mailing address
3534 E GLENROSA AVE, PHOENIX, AZ 85018-3902
(240) 475-4982
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
60302
AZ
Other
Enumeration date
07/02/2014
Last updated
06/14/2022
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