Komakula, Sirisha T

Komakula, Sirisha T is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Komakula, Sirisha T can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
280 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 68811864-1205 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL-1241 Colorado
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 051894 Colorado
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 6881864-1205 Utah

Profile Details

NPI number 1295872562
LBN Legal business name Komakula, Sirisha T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated May 14th, 2021 - about 3 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 1295872562 NPPES
Colorado MEDICAID 32072279
Colorado Other 025338

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