Individual
SIVARAMA PRASAD SOMPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8118 PHILADELPHIA ROAD, BALTIMORE, MD 21237
(410) 866-6207
(410) 866-6208
Mailing address
8118 PHILADELPHIA ROAD, BALTIMORE, MD 21237
(410) 866-6207
(410) 866-6208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0016163
MD
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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