MEDICARE: SWETHA SAI SIRIGINEEDI MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1538041132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWETHA SAI SIRIGINEEDI MD

Provider Business Mailing Address
First Line	:	4502 E 41ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-2553
Country	:	US
Telephone Number	:	918-619-4400
Fax Number	:	918-619-4152

Provider Business Practice Location Address
First Line	:	4502 E 41ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-2553
Country	:	US
Telephone Number	:	918-619-4400
Fax Number	:	918-619-4152

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	06/07/2026

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