Koppula, Sireesha
Koppula, Sireesha is an individual health care provider with primary practice located at Unm Hospitals 2211 Lomas Blvd Ne, Albuquerque NM 87106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Koppula, Sireesha can be contacted via phone (505) 272-4281.Contact Information
Primary practice address
Unm Hospitals 2211 Lomas Blvd Ne
Albuquerque NM 87106
Phone: (505) 272-4281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37291 | Arizona |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 37291 | Arizona |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD2020-0102 | New Mexico |
Profile Details
| NPI number | 1356531388 |
|---|---|
| LBN Legal business name | Koppula, Sireesha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jan 31st, 2024 - 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 | 1356531388 | NPPES |
| Arizona | MEDICAID | 233952 | |
| Arizona | Other | P00447267 |
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