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NPI Code Detail

MEDICARE: DR. SRILEKHA PURANAM M.D.

MEDICARE:  DR. SRILEKHA  PURANAM  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianA106383CA
2207R00000XInternal Medicine PhysicianA106383CA

General Provider Information

NPI Number : 1043469778
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SRILEKHA PURANAM M.D.
Provider Business Mailing Address
First Line : 664 SOUTHLAND MALL
Second Line :
City : HAYWARD
State : CA
Zip : 94545-2150
Country : US
Telephone Number : 510-266-1741
Fax Number :
Provider Business Practice Location Address
First Line : 664 SOUTHLAND MALL
Second Line :
City : HAYWARD
State : CA
Zip : 94545-2150
Country : US
Telephone Number : 510-266-1741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2008
Last Update Date : 01/14/2026

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Directions to “ DR. SRILEKHA PURANAM M.D.” Practice Location

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