Perumandla, Sirisha
Perumandla, Sirisha is an individual health care provider with primary practice located at 520 Techwood Dr N , Danville KY 40422-8500. 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. Perumandla, Sirisha can be contacted via phone (859) 236-2203.Contact Information
Primary practice address
520 Techwood Dr N
Danville KY 40422-8500
Phone: (859) 236-2203
Fax: (859) 238-2206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36765 | Iowa |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 36765 | Iowa |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | TP947 | Kentucky |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 44696 | Kentucky |
Profile Details
| NPI number | 1700891454 |
|---|---|
| LBN Legal business name | Perumandla, Sirisha |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Nov 4th, 2011 - about 13 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 | 1700891454 | NPPES |
| Kentucky | Other | 61-1277847 | UNITED HEALTHCARE |
| Kentucky | Other | 7531832 | UNITED HEALTHCARE |
| Kentucky | MEDICAID | 1499426 | UNITED HEALTHCARE |
| Kentucky | Other | 25031 | UNITED HEALTHCARE |
| Kentucky | Other | 50034241 | UNITED HEALTHCARE |
| Kentucky | Other | 1700891454 | UNITED HEALTHCARE |
| Kentucky | Other | 87090 | UNITED HEALTHCARE |
| Kentucky | MEDICAID | ZZ207RH00033X | UNITED HEALTHCARE |
| Kentucky | Other | 170891454 | UNITED HEALTHCARE |
| Kentucky | Other | 25208 | UNITED HEALTHCARE |
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