Individual
CHANDU SIRIPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 MULBERRY ST., SCRANTON, PA 18510-6889
(570) 703-7351
(570) 703-7801
Mailing address
100 NORTH ACADEMY AVE., DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD455083
PA
208M00000X
Hospitalist Physician
Primary
MD455083
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2012
Last updated
08/31/2020
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