Sirisha T Komakula in Lafayette - Neuroradiology
Sirisha T Komakula - NPI 1295872562
Sirisha T Komakula is a Neuroradiology in Lafayette, Colorado. Sirisha T Komakula practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Sirisha T Komakula is 1295872562. The last update date is 2021-05-14.
Sirisha T Komakula's current location address is 280 Exempla Cir, Lafayette, Colorado. You can contact this provider via phone number 3033384545. The mailing address for Sirisha T Komakula is 280 Exempla Cir, Lafayette, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sirisha T Komakula |
|---|---|
| Address | 280 Exempla Cir, Lafayette, Colorado |
| Phone Number | 3033384545 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295872562 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2021-05-14 |
Provider Mailing Address Detail
| Address | 280 Exempla Cir |
|---|---|
| City | Lafayette |
| State | Colorado (CO) |
| Post Code | 8002633700 |
| Phone Number | 3033384545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neuroradiology |
|---|---|
| Taxonomy | 2085N0700X |
| Licence No | 51894 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32072279 | CO | -- | |
| 25338 | CO | KAISER COMMERCIAL NUMBER |
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What is the unique provider identifier assigned to Sirisha T Komakula?
The Sirisha T Komakula has been issued the NPI (National Provider Identifier) 1295872562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Sirisha T Komakula's physical address?
The Sirisha T Komakula is physically located at 280 Exempla Cir, in the city of Lafayette, CO, with the postal code 8002633700.
What is Sirisha T Komakula's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sirisha T Komakula is Neuroradiology, and the taxonomy code that categorizes this field of expertise is 2085N0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295872562 to Sirisha T Komakula?
The Sirisha T Komakula received its 1295872562 assignment from the Centers for Medicare & Medicaid Services on 2007-01-30.
As of what date were the details related to Sirisha T Komakula most recently updated or revised?
The information pertaining to Sirisha T Komakula, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-14.