| Siri Priyam, LLC | |
|
9515 W Camelback Rd Suite 114 Phoenix AZ 85037-1355 | |
| (623) 777-9108 | |
| (623) 455-9388 |
| Full Name | Siri Priyam, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9515 W Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Shantipriya Siripurapu (PRESIDENT/OWNER) |
| Authorized Official Contact | 6237779108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siri Priyam, LLC 9515 W Camelback Rd Suite 114 Phoenix AZ 85037-1355 Ph: (623) 777-9108 | Siri Priyam, LLC 9515 W Camelback Rd Suite 114 Phoenix AZ 85037-1355 Ph: (623) 777-9108 |
| NPI Number | 1619389145 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 6901024959 |
|---|---|
| Medicare Enrollment ID | O20140904001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619389145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37026 (Arizona) | Primary |
| Provider Name | Shantipriya Siripurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740202860 PECOS PAC ID: 3274539176 Enrollment ID: I20070823000660 |
| Provider Name | Punnaiah C Marella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407878523 PECOS PAC ID: 9638175532 Enrollment ID: I20070823000862 |
| Provider Name | Hannah Hugo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023771516 PECOS PAC ID: 0648660928 Enrollment ID: I20211130001878 |
| Provider Name | Gabrielle Marie Barkley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730844945 PECOS PAC ID: 7012307093 Enrollment ID: I20211206002335 |
| Provider Name | Samantha Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578325049 PECOS PAC ID: 2769928860 Enrollment ID: I20240725001107 |
| Provider Name | Reilly Elizabeth Yeager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033948914 PECOS PAC ID: 1759822158 Enrollment ID: I20240925003965 |
| Provider Name | Juliana Petrovic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477369270 PECOS PAC ID: 4486175205 Enrollment ID: I20250310002619 |
| Provider Name | Kathryn Noel Hamman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225844939 PECOS PAC ID: 4284139908 Enrollment ID: I20250924002490 |
| Provider Name | Isabella Grace Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295681799 PECOS PAC ID: 5597230748 Enrollment ID: I20260406003208 |
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