Sirish Maddali in South Portland - Plastic Surgery

Sirish Maddali - NPI 1790825487

Sirish Maddali is a Plastic Surgery in South Portland, Maine. Sirish Maddali practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Sirish Maddali is 1790825487. The last update date is 2011-01-13.

Sirish Maddali's current location address is 244 Western Avenue, South Portland, Maine. You can contact this provider via phone number 2077753446 and fax number 2078791646. The mailing address for Sirish Maddali is 244 Western Avenue, South Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Sirish Maddali
Address 244 Western Avenue, South Portland, Maine
Phone Number 2077753446
Fax Number 2078791646
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790825487
Provider Enumeration Date 2007-02-08
Last Updated Date 2011-01-13

Provider Mailing Address Detail

Address 244 Western Avenue
City South Portland
State Maine (ME)
Post Code 4106
Phone Number 2077753446
Fax Number 2078791646

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No A90979
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30209881 NH --

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FAQs about Sirish Maddali

What is the unique 10-digit identifier code issued to Sirish Maddali by the Centers for Medicare & Medicaid Services?

The Sirish Maddali has been assigned the NPI (National Provider Identifier) 1790825487 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Sirish Maddali is physically located?

The Sirish Maddali is physically situated at the following address: 244 Western Avenue, South Portland, ME, 4106.

What is the Sirish Maddali's area of specialization and corresponding taxonomy classification?

The Sirish Maddali's specialty field is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their specialties.

On what date did Sirish Maddali receive its 1790825487 assignment from the Centers for Medicare & Medicaid Services?

The Sirish Maddali was assigned its 1790825487 on 2007-02-08, 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 Sirish Maddali most recently updated or refreshed?

The details pertaining to the Sirish Maddali, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-13.

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