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Contact Information

SIREESHA N MUDUNURI
155 N FRESNO ST
FRESNO, CA93701
 Phone: 559-499-6450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SIREESHA N MUDUNURI · (Female)

NPI Number 1336650738
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2017
Last updated 10/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A19963
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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