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Individual
SUSRUTHA PUTHANMADHOM NARAYANAN
Active
Individual
SUSRUTHA PUTHANMADHOM NARAYANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01098154A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01098154A
IN
207RH0003X
Hematology & Oncology Physician
2023012343
MO
207RX0202X
Medical Oncology Physician
01098154A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300131947
—
IN
Enumeration date
05/28/2020
Last updated
08/14/2026
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