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Ms. Sirisha Sangavaram, MD
Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina
NPI 1821205550

Sirisha Sangavaram is a Student in an Organized Health Care Education/Training Program based in Fayetteville, NC. Sirisha Sangavaram practices in Fayetteville, NC and has the professional credentials of MD. The NPI Number for Sirisha Sangavaram is 1821205550 and holds a License No. (North Carolina).

The current practice location address for Sirisha Sangavaram is 1601 Owen Dr, Fayetteville, NC and can be reached out via phone at 910-678-0100 and via fax at 910-678-7274.

Location: 1601 Owen Dr, Fayetteville, NC, 28304-3425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821205550
Provider Name
Sirisha Sangavaram
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1601 Owen Dr, Fayetteville, NC, 28304-3425
Phone Number
910-678-0100
Fax Number
910-678-7274
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3425
Phone Number
910-678-0100
Fax Number
910-678-7274
person
Provider Business Mailing Address Details
Address
1601 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3425
Phone Number
910-678-0100
Fax Number
910-678-7274
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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