Edunuri, Shruthi

Edunuri, Shruthi is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 36, Marquette MI 49855-2675. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Edunuri, Shruthi can be contacted via phone (906) 225-3864.

Contact Information

Primary practice address
1414 W Fair Ave Suite 36 Marquette MI 49855-2675
Phone: (906) 225-3864
Fax: (906) 225-3851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1073769113
LBN Legal business name Edunuri, Shruthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073769113 NPPES
Michigan MEDICAID 1841458106
Michigan Other KE092409

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