Provider Demographics
NPI:1710132469
Name:SIRIPURAPU, VEERAIAH (MD)
Entity Type:Individual
Prefix:DR
First Name:VEERAIAH
Middle Name:
Last Name:SIRIPURAPU
Suffix:
Gender:M
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:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-265-5951
Mailing Address - Fax:256-265-5952
Practice Address - Street 1:1041 BALCH RD STE 350
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758
Practice Address - Country:US
Practice Address - Phone:256-265-5951
Practice Address - Fax:256-265-5952
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL374002086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA152264HZCMedicare PIN
PA1022931000001Medicaid