Individual
DR. SITARA KOMMAREDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6567 E CARONDELET DR, SUITE 435, TUCSON, AZ 85710-6152
(520) 512-5757
(520) 882-3211
Mailing address
6567 E CARONDELET DR, SUITE 435, TUCSON, AZ 85710-6152
(520) 512-5757
(520) 882-3211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31411
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31411
STATE LICENSE
AZ
05
—
778673
—
AZ
Enumeration date
06/20/2006
Last updated
09/12/2023
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