Individual
SHRUTHI THOPIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4192
(217) 876-2575
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4192
(217) 876-2575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209017479
IL
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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