Dr Siruvella MD PC

NPI #1447567631 in Monroe, Georgia

Provider Information

NPI Number: 1447567631
Entity Type: Organization
Organization Name: Dr Siruvella MD PC
Primary Specialty: Family Medicine
Enumeration Date: Sep 9, 2010
Last Updated: Sep 10, 2010

Practice Location

Address: 705 BREEDLOVE DR
Address 2: SUITE 800
City: Monroe
State: Georgia
ZIP Code: 30655-2090
Phone: (770) 266-0567

Authorized Official

Name: DR. SRIDEVI SIRUVELLA, MD
Title: MEDICAL DIRECTOR/PHYSICIAN
Phone: (770) 266-0567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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