Individual
SIRISHA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ # 7ICU, LOS ANGELES, CA 90095-3220
(310) 825-4381
(310) 825-0189
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A141626
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A141626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R73582
PERMIT
AZ
Enumeration date
06/25/2012
Last updated
12/27/2019
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