| NPI | 1073769113 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-08-08 |
| Last Updated | 2023-11-27 |
| Mailing Address | 4602 Dept Carol Stream, IL 60122-0021 United States Phone: (906) 225-4821 | Fax: (906) 225-4537 📍 View Map |
| Primary Practice Address | 1414 W Fair Ave, Suite 36 Marquette, MI 49855-2675 United States Phone: (906) 225-3864 | Fax: (906) 225-3851 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MI | 1841458106 | — |
| Other (non-Medicare) | MI | KE092409 | BCBS OF MICHIGAN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 390200000X – Student in an Organized Health Care Education/Training Program | — | — |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1073769113
Shruthi Edunuri MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073769113. The primary specialty listed is Student in an Organized Health Care Education/Training Program. The provider is located in Marquette, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-08-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073769113?
NPI 1073769113 belongs to Shruthi Edunuri MD, a Student in an Organized Health Care Education/Training Program in Marquette, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073769113 active?
The current status of NPI 1073769113 in the NPPES registry is Active. The record was last updated on 2023-11-27.
What specialty is NPI 1073769113?
NPI 1073769113 is classified under the taxonomy Student in an Organized Health Care Education/Training Program. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073769113?
You can verify NPI 1073769113 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073769113?
The primary practice address on file for NPI 1073769113 is 1414 W Fair Ave, Marquette, MI 49855-2675. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073769113 issued?
NPI 1073769113 was first issued (enumerated) on 2008-08-08. The NPPES record was last updated on 2023-11-27.
Practice Location Map
Shruthi Edunuri is located at 1414 W Fair Ave, Marquette, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Shruthi Edunuri. All records sourced from the CMS NPPES registry.