Siri Kanmanthreddy, M.D.
Pediatric Anesthesiology · Evanston, IL
UnclaimedM.D.NPI 1225337793
- Primary taxonomy
- 207LP3000X
- Enumerated
- 2011-03-22
- Practice location
- Evanston, IL
- Last NPPES update
- 2015-07-23
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONExpiredthrough 2017
- IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 2014
- WA · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · Physician And Surgeon LicenseActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.