MEDICARE: SIRISHA KARRI 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
2	207RH0003X	Hematology & Oncology Physician	N0877	TX

General Provider Information

NPI Number	:	1821217159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIRISHA KARRI MD

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8852
Country	:	US
Telephone Number	:	214-648-4180
Fax Number	:	214-648-1955

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8852
Country	:	US
Telephone Number	:	214-648-4180
Fax Number	:	214-648-1955

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	12/17/2021

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