Jasti, Sirisha

Jasti, Sirisha is an individual health care provider with primary practice located at 355 Bmh Physicians Office Bldg , Maryville TN 37804-5820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Jasti, Sirisha can be contacted via phone (865) 980-5060.

Contact Information

Primary practice address
355 Bmh Physicians Office Bldg Maryville TN 37804-5820
Phone: (865) 980-5060
Fax: (865) 980-5066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD53010 Tennessee

Profile Details

NPI number 1477716744
LBN Legal business name Jasti, Sirisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jan 23rd, 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 1477716744 NPPES
Tennessee MEDICAID Q014363

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