Provider Demographics
NPI:1922266683
Name:VASIREDDY, SIREESHA GARIKIPATI (MD)
Entity Type:Individual
Prefix:DR
First Name:SIREESHA
Middle Name:GARIKIPATI
Last Name:VASIREDDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:11970 N CENTRAL EXPY STE 550
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3768
Mailing Address - Country:US
Mailing Address - Phone:972-942-8779
Mailing Address - Fax:
Practice Address - Street 1:7200 STATE HIGHWAY 161 STE 230
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3829
Practice Address - Country:US
Practice Address - Phone:972-566-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9158207RA0001X, 207RC0000X, 207RI0011X, 207RI0011X
MI4301106755207RI0011X
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program