Individual
SIREESHA UPADHRASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 CATON AVE # 081, BALTIMORE, MD 21229-5201
(443) 703-3200
(443) 703-3201
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(443) 703-3242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D86919
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
07/27/2016
Last updated
06/27/2019
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