Provider Demographics
NPI:1538664909
Name:ALETI, SIREESHA (MD)
Entity type:Individual
Prefix:DR
First Name:SIREESHA
Middle Name:
Last Name:ALETI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1316
Mailing Address - Country:US
Mailing Address - Phone:908-514-8578
Mailing Address - Fax:908-514-8645
Practice Address - Street 1:201 E FRONT ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1316
Practice Address - Country:US
Practice Address - Phone:908-514-8578
Practice Address - Fax:908-514-8645
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312124208000000X
NJ25MA11229200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics