Individual
SHIREESHA R VUPPALANCHI
Active
Individual
SHIREESHA R VUPPALANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01056071A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200503410
—
IN
01
—
P01209640
RR MEDICARE PTAN
IN
Enumeration date
08/10/2005
Last updated
12/08/2014
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