Guthikonda, Sirisha
Guthikonda, Sirisha is an individual health care provider with primary practice located at 460 Northside Cherokee Blvd Ste 430 , Canton GA 30115-8020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Guthikonda, Sirisha can be contacted via phone (770) 765-3766.Contact Information
Primary practice address
460 Northside Cherokee Blvd Ste 430
Canton GA 30115-8020
Phone: (770) 765-3766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 80747 | Georgia |
Profile Details
| NPI number | 1205044963 |
|---|---|
| LBN Legal business name | Guthikonda, Sirisha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Aug 27th, 2021 - about 5 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 | 1205044963 | NPPES |
| New Jersey | MEDICAID | 0217760 |
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