Provider Demographics
NPI:1568652238
Name:GADIRAJU, SILPA BHARATHI (MD)
Entity Type:Individual
Prefix:DR
First Name:SILPA
Middle Name:BHARATHI
Last Name:GADIRAJU
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 1:6440 SOUTH MILLROCK DRIVE
Mailing Address - Street 2:COMPHEALTH LOCUM TENENS EMERGENCY MEDICINE SUITE 175
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-3100
Mailing Address - Country:US
Mailing Address - Phone:801-930-3429
Mailing Address - Fax:
Practice Address - Street 1:6440 SOUTH MILLROCK DRIVE
Practice Address - Street 2:SUITE 175
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-3100
Practice Address - Country:US
Practice Address - Phone:801-930-3429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19580207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine