Provider Demographics
NPI:1821310715
Name:PARUPALLI, SIRISHA
Entity Type:Individual
Prefix:MRS
First Name:SIRISHA
Middle Name:
Last Name:PARUPALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SIRISHA
Other - Middle Name:
Other - Last Name:NEKKALAPU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 NAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1406
Mailing Address - Country:US
Mailing Address - Phone:212-304-3949
Mailing Address - Fax:
Practice Address - Street 1:66 NAGLE AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1406
Practice Address - Country:US
Practice Address - Phone:212-304-3949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17270183500000X
PARP439917183500000X
NJ28RI03037300183500000X
NY000213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist