Andrahennady, Sisira
Andrahennady, Sisira is an individual health care provider with primary practice located at 920 Stanton L Young Blvd # Wp1140 , Oklahoma City OK 73104-5036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Andrahennady, Sisira can be contacted via phone (405) 271-4351.Contact Information
Primary practice address
920 Stanton L Young Blvd # Wp1140
Oklahoma City OK 73104-5036
Phone: (405) 271-4351
Fax: (405) 271-4351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C1-0006402 | Delaware |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 33960 | Oklahoma |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD071641L | Pennsylvania |
Profile Details
| NPI number | 1093791147 |
|---|---|
| LBN Legal business name | Andrahennady, Sisira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jul 16th, 2019 - about 7 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 | 1093791147 | NPPES |
| Delaware | MEDICAID | 1093791147 | |
| Delaware | Other | P00918738 | |
| Delaware | MEDICAID | 001811218 | |
| Delaware | MEDICAID | 8856702 | |
| Delaware | Other | P00691982 |
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