Sirish Maddali, M.D., Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A90979 Issued in CA

Legal business name

SIRISH MADDALI, M.D., INC.

Practice address

390 Laurel Street
Suite 205
San Francisco, CA 94118-1953

Phone

(415) 771-7710

Fax

(415) 771-7707

NPI assigned

Sep 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sirish Maddali, M.D.

Title

President

Phone

(415) 771-7710

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chia J. Chung, MD

  • Plastic and Reconstructive Surgery Physician
  • Puyallup, WA
  • NPI 1427189471
  NPD (past)
• Vera J Komisarjevsky, ACNP

  • Acute Care Nurse Practitioner
  • Portland, ME
  • NPI 1194714568
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1972790699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LAUREL STREET",
            "address_2": "SUITE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181953",
            "telephone_number": "415-771-7710",
            "fax_number": "415-771-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LAUREL STREET",
            "address_2": "SUITE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181953",
            "telephone_number": "415-771-7710",
            "fax_number": "415-771-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRISH MADDALI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "SIRISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-771-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A90979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Sir
• Danielle Allegra Sires, PSY.D.
• Iling Jenny Sirimanotham
• Pradyoth Sirineni
• Sirisat Khalsa, M.D. Inc.
• Michelle Siros, MD
• Tracy Lynn Sirota, PNP
• Jennifer Quilaquil Siruno, RN
• Shawna Mitchell Sisler, MS, RN, CPNP
• Diana Sisneros

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.