Individual
SIRISHA PERUMANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 ALLEN RD, STOW, OH 44224-1032
(330) 344-6505
(330) 344-6431
Mailing address
4300 ALLEN RD, STOW, OH 44224-1032
(330) 344-6505
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35.152265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1499426
—
IA
01
—
1700891454
TRICARE
—
01
—
25031
BLUE CROSS/BLUE SHIELD
—
05
—
ZZ207RH00033X
—
IA
Enumeration date
07/30/2006
Last updated
01/16/2025
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