Gaddipati, Sirisha

Gaddipati, Sirisha is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gaddipati, Sirisha can be contacted via phone (937) 395-6665.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Fax: (937) 395-6668
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37269 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.092312 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 092312 Ohio

Profile Details

NPI number 1538353412
LBN Legal business name Gaddipati, Sirisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2007
Last updated Nov 25th, 2024 - 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 1538353412 NPPES
Ohio MEDICAID 2889950
Ohio MEDICAID 277321
Ohio Other H361502

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