Maddali, Sirish
Maddali, Sirish is an individual health care provider with primary practice located at 244 Western Avenue , South Portland ME 04106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Maddali, Sirish can be contacted via phone (207) 775-3446.Contact Information
Primary practice address
244 Western Avenue
South Portland ME 04106
Phone: (207) 775-3446
Fax: (207) 879-1646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | A90979 | California |
Profile Details
| NPI number | 1790825487 |
|---|---|
| LBN Legal business name | Maddali, Sirish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jan 13th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790825487 | NPPES |
| New Hampshire | MEDICAID | 30209881 |
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