Siresha Samudrala in Saint Louis - Physical Medicine & Rehabilitation
Siresha Samudrala - NPI 1700840790
Siresha Samudrala is a Physical Medicine & Rehabilitation in Saint Louis, Missouri. Siresha Samudrala practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Siresha Samudrala is 1700840790. The last update date is 2007-07-08.
Siresha Samudrala's current location address is 11125 Dunn Rd, Saint Louis, Missouri. You can contact this provider via phone number 3143557880 and fax number 3143558899. The mailing address for Siresha Samudrala is 11125 Dunn Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Siresha Samudrala |
|---|---|
| Address | 11125 Dunn Rd, Saint Louis, Missouri |
| Phone Number | 3143557880 |
| Fax Number | 3143558899 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700840790 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11125 Dunn Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631366132 |
| Phone Number | 3143557880 |
| Fax Number | 3143558899 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | 2003001132 |
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Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
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What is the unique 10-digit identification code assigned to Siresha Samudrala by the Centers for Medicare & Medicaid Services?
The Siresha Samudrala has been issued the NPI (National Provider Identifier) 1700840790, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Siresha Samudrala is located?
The Siresha Samudrala is situated at the following address: 11125 Dunn Rd, Saint Louis, MO, 631366132.
What is Siresha Samudrala's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Siresha Samudrala is Physical Medicine & Rehabilitation, and the taxonomy code that categorizes this field of expertise is 208100000X.
On what date did Siresha Samudrala receive its 1700840790 assignment from the Centers for Medicare & Medicaid Services?
The Siresha Samudrala was assigned its 1700840790 on 2006-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Siresha Samudrala most recently updated or refreshed?
The details pertaining to the Siresha Samudrala, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1932102142
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