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General NPI Number Information
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NPI Number | 1710080130
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Entity Type | Individual
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Provider Name | SIRISHA PASHAM REDDY MD
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2301 ROBESON ST STE 301
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5641
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Country | US
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Telephone | 910-484-4100
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Fax | 910-484-4179
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Provider Business Mailing Address
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Address Line | 2301 ROBESON ST STE 301
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5641
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Country | US
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Telephone | 910-484-4100
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Fax | 910-484-4179
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 27513
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 20000084
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M5900
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME102395
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 200000884
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License Number State | NC
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