Organization
SIRISH MADDALI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRISH MADDALI M.D. (PRESIDENT)
(415) 771-7710
Entity
Organization
Contact information
Practice address
390 LAUREL STREET, SUITE 205, SAN FRANCISCO, CA 94118-1953
(415) 771-7710
(415) 771-7707
Mailing address
390 LAUREL STREET, SUITE 205, SAN FRANCISCO, CA 94118-1953
(415) 771-7710
(415) 771-7707
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A90979
CA
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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