Datla, Sireesha
Datla, Sireesha is an individual health care provider with primary practice located at 1201 5Th Ave N Ste 505 , St Petersburg FL 33705-1455. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Datla, Sireesha can be contacted via phone (727) 821-0017.Contact Information
Primary practice address
1201 5Th Ave N Ste 505
St Petersburg FL 33705-1455
Phone: (727) 821-0017
Fax: (727) 822-7473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 263027 | New York |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME161713 | Florida |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 57785 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 263027 | New York |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME161713 | Florida |
Profile Details
| NPI number | 1275819526 |
|---|---|
| LBN Legal business name | Datla, Sireesha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2011 |
| Last updated | Sep 5th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275819526 | NPPES |
| Florida | MEDICAID | 118166200 |
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