Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E4701 | CA |
N | 222Z00000X | Podiatrist | E4701 | CA |
Y | 213ES0103X | Foot & Ankle Surgery | E4701 | CA |
NPI | 1033266721 |
---|---|
Provider Name | Dr. Sireesha Battula |
First Address | Albany, CA 94706-1375 |
Second Address | Albany, CA 94706-1375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 07/10/2020 |