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Dr. Sirisha T Komakula, MD
Neuroradiology Physician in Lafayette, Colorado
NPI 1295872562

Sirisha T Komakula is a Neuroradiology Physician based in Denver, CO and is specialized in Neuroradiology. Sirisha T Komakula practices in Lafayette, CO and has the professional credentials of MD. The NPI Number for Sirisha T Komakula is 1295872562 and holds a License No. 68811864-1205 (Colorado).

The current practice location address for Sirisha T Komakula is 280 Exempla Cir, Lafayette, CO and can be reached out via phone at 303-338-4545.

Location: 280 Exempla Cir, Lafayette, CO, 80247-1314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295872562
Provider Name
Sirisha T Komakula
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
280 Exempla Cir, Lafayette, CO, 80247-1314
Phone Number
303-338-4545
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32072279 05 CO
025338 01 CO KAISER COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
280 Exempla Cir
City
Lafayette
State
Colorado
Zip
80026-3370
Phone Number
303-338-4545
Fax Number
person
Provider Business Mailing Address Details
Address
280 Exempla Cir
City
Lafayette
State
Colorado
Zip
80026-3370
Phone Number
303-338-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
051894 (Colorado)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
TL-1241 (Colorado)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
68811864-1205 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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