SIREESHA KOPPULA (NPI# 1356531388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356531388 |
| Entity Type | Individual |
| Full Name | SIREESHA KOPPULA |
| Credential | MD |
| Practice Address |
Unm Hospitals 2211 Lomas Blvd Ne Albuquerque NM 87106 |
| Mailing Address |
2211 Lomas Blvd Ne Albuquerque NM 87106-2719 |
| Practice Telephone | 5052724281 |
| Mailing Telephone | 5052724281 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 37291 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD2020-0102 | NM | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
37291 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 233952 | 05 | |
| AZ | RAILROAD MEDICARE | P00447267 | 01 |
| Street Address |
UNM HOSPITALS 2211 LOMAS BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972943 | Albuquerque Nephrology Associates | Internal Medicine | 4333 Pan American Freeway Ne Suite C, Albuquerque, NM 87107-6833 | 2018-12-03 |
| 1487945507 | Shan Shan Chen | Internal Medicine | Msc 04-2785, 1 University of New Mexico, Albuquerque, NM 87131 | 2011-04-23 |
| 1689889123 | Steven Paul Kanig | Internal Medicine | 3325 Calle De Daniel Nw, Albuquerque, NM 87104-3023 | 2007-05-10 |
| 1932200904 | Eduardo A. Alas | Internal Medicine | 717 Encino Place N.e., Suite 26, Albuquerque, NM 87102 | 2006-09-25 |
| 1518985191 | Gustavo Abel Espino | Internal Medicine | 4333 Pan American Fwy Ne Ste C, Albuquerque, NM 87107-6833 | 2006-07-18 |
| 1619902699 | Charles T Spalding | Internal Medicine | 657 Roadrunner Ln Ne, Albuquerque, NM 87122-1811 | 2006-07-11 |
| 1134159692 | Darren W Schmidt | Internal Medicine | University of New Mexico- Hsc Division of Nephrology, Albuquerque, NM 87131-8296 | 2006-07-03 |
| 1437195369 | Biju Cherian | Internal Medicine | 5981 Jefferson St Ne Ste A, Albuquerque, NM 87109-3457 | 2006-06-21 |
| 1649278672 | David Buchwald | Internal Medicine | 5852 Mesa Vista Trl Nw, Albuquerque, NM 87120-3297 | 2005-07-13 |
| 1730795501 | Southwest Kidney Care, LLC | Internal Medicine | 5981 Jefferson St Ne Ste A, Albuquerque, NM 87109-3457 | 2020-09-17 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on SIREESHA KOPPULA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.