Provider Demographics
NPI:1265850267
Name:GOKARAJU, SIRISHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SIRISHA
Middle Name:
Last Name:GOKARAJU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 STATE HIGHWAY 121 STE 3150
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6151
Mailing Address - Country:US
Mailing Address - Phone:972-798-8553
Mailing Address - Fax:972-798-8556
Practice Address - Street 1:981 STATE HIGHWAY 121 STE 3150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6151
Practice Address - Country:US
Practice Address - Phone:972-798-8553
Practice Address - Fax:972-798-8556
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXS8830207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program