Individual
DR. JEYANTHI SIRITHARA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
10429 KINGSBRIDGE RD, ELLICOTT CITY, MD 21042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0045427
MD
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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