NPI 1649777087

Sireesha Teegala, MD

Practitioner Family Medicine Physician Bellerose, NY

Practice location

Address: 8607 Commonwealth Blvd, Bellerose, NY 11426-1632
Phone: (917) 605-3305
Mailing address: 900 W Magnolia Ave STE 201&203, Fort Worth, TX 76104-8517

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence T3398 (TX)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1649777087
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2018
Record last updated: 9 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.