DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SIVA SUNDEEP KOPPOLU MBBS

MEDICARE: SIVA SUNDEEP KOPPOLU MBBS
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
12084P0800XPsychiatry PhysicianTEP 7768NE
22084P0800XPsychiatry PhysicianE-15382AR

General Provider Information

NPI Number : 1316493943
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIVA SUNDEEP KOPPOLU MBBS
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-945-8838
Fax Number : 501-945-8835
Provider Business Practice Location Address
First Line : 3401 SPRINGHILL DR STE 490
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-2933
Country : US
Telephone Number : 501-945-8838
Fax Number : 501-945-8835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/16/2022

Similar Medicare Providers

1750465779 — MR. DARREN LEE REEVES L.C.S.W.
Practice Location Address:
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR
72117-2933
Practice Phone: 501-945-8838
Practice Fax: 501-945-8835
1104576461 — DR. PARAMESHWARAN RAMAKRISHNAN MD
Practice Location Address:
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR
72117-2933
Practice Phone: 501-945-8838
Practice Fax:
1922749001 — ALEXANDER MALATI DO
Practice Location Address:
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR
72117-2933
Practice Phone: 501-945-8838
Practice Fax:
1720721764 — JACOB DAVIS
Practice Location Address:
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR
72117-2933
Practice Phone: 501-945-8838
Practice Fax:
1942980149 — ARKANSAS HEALTH GROUP
Practice Location Address:
3401 SPRINGHILL DR STE 490
NORTH LITTLE ROCK, AR
72117-2933
Practice Phone: 501-202-3815
Practice Fax: 501-202-3835
1831465384 — MALLORY MICHELLE SMITH M.D.
Practice Location Address:
2933 LAKEWOOD VILLAGE DR
NORTH LITTLE ROCK, AR
72116-8033
Practice Phone: 501-435-1417
Practice Fax:

Directions to “ SIVA SUNDEEP KOPPOLU MBBS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.