Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M1641 | TX |
N | 111NI0900X | Internist | M1641 | TX |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35.093827 | OH |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 57.012878 | OH |
NPI | 1023073806 |
---|---|
Provider Name | Dr. Sirisha Donepudi |
First Address | Columbus, OH 43260-0001 |
Second Address | Marion, OH 43302-6416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2298556 | (05) | OH |
I43457 | (02) | TX |