BRENNAN, SIRISHA NERALLA - Licensee Information

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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT

BRENNAN, SIRISHA NERALLA

Practice Address:	MRIOA 2875 S. DECKER LAKE DRIVE SUITE 300 SALT LAKE CITY UT 84119 Address last updated on 4/27/2021
Phone #:	(800) 654-2422 x6838
Fax #:
County:	NOT OKLAHOMA
License:	38315
Dated:	8/30/2021
Expires:	8/1/2022
License Type:	Medical Doctor
Specialty:	Internal Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	DREXEL UNIV COLL OF MED, Philadelphia PA 19129
Graduated:	5 / 2001
CME Year:	2024

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF INTERNAL MEDICINE
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
MRIOA 2875 S. DECKER LAKE DRIVE SUITE 300 SALT LAKE CITY UT 84119 Phone #: (800) 654-2422 x6838 Fax #: