DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SIRISH MADDALI, MD

Active

DR. SIRISH MADDALI, MD is a Plastic Surgery healthcare provider located in SOUTH PORTLAND, Maine. NPI 1790825487 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · SOUTH PORTLAND, ME

Registration Details

NPI Number
1790825487
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2007 (19.47766029348 yrs)
Last Updated
Jan 13, 2011
License
A90979 (CA)

Practice Information

Address
244 WESTERN AVENUE
SOUTH PORTLAND, ME, 04106
Browse ME providers · Browse ZIP 04106
Phone
2077753446
Fax
2078791646
Primary Specialty
Plastic Surgery
208200000X

Other Plastic Surgery Providers in SOUTH PORTLAND, ME

Name Credential NPI
DR. JOHN SCOTT PERSING M.D., M.P.H. 1992123251
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.