Vallepu, Shirisha Reddy

Vallepu, Shirisha Reddy is an individual health care provider with primary practice located at 127 N Oak Ave Ste A , Cookeville TN 38501-2435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Vallepu, Shirisha Reddy can be contacted via phone (931) 783-2648.

Contact Information

Primary practice address
127 N Oak Ave Ste A Cookeville TN 38501-2435
Phone: (931) 783-2648
Fax: (931) 783-2649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 69313 Tennessee

Profile Details

NPI number 1548767015
LBN Legal business name Vallepu, Shirisha Reddy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Oct 25th, 2023 - 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 1548767015 NPPES
Tennessee MEDICAID Q087007

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