# DR. SUSHRUTH SHENAVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457640708
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 4301098087 | MI | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | 4301098087 | MI | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 4301098087 | MI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301098087 | MI | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 4301098087 | MI | — |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/18/2025