Puppala, Sirisha

Puppala, Sirisha is an individual health care provider with primary practice located at 3285 S Val Vista Dr , Gilbert AZ 85297-7000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Puppala, Sirisha can be contacted via phone (480) 825-7219.

Contact Information

Primary practice address
3285 S Val Vista Dr Gilbert AZ 85297-7000
Phone: (480) 825-7219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 4301088551 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43258 Arizona

Profile Details

NPI number 1548469190
LBN Legal business name Puppala, Sirisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 21st, 2022 - about 2 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 1548469190 NPPES
Arizona MEDICAID 567495

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