Jain, Sirisha Maddipoti

Jain, Sirisha Maddipoti is an individual health care provider with primary practice located at 2720 Clare Ave Suite A, Bremerton WA 98310-3374. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Jain, Sirisha Maddipoti can be contacted via phone (360) 479-6154.

Contact Information

Primary practice address
2720 Clare Ave Suite A Bremerton WA 98310-3374
Phone: (360) 479-6154
Fax: (360) 479-5728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M6736 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD60244388 Washington

Profile Details

NPI number 1437343035
LBN Legal business name Jain, Sirisha Maddipoti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Jan 6th, 2012 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437343035 NPPES
Texas Other 8AQ630 BCBS

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