Individual
DR. SUSHRUTA SHANTANU NAGARKATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
611 E DOUGLAS RD STE 207, MISHAWAKA, IN 46545-1465
(574) 335-6850
(574) 335-0849
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-8707
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
01094815A
IN
2086X0206X
Surgical Oncology Physician
4301503008
MI
Other
Enumeration date
06/30/2011
Last updated
10/09/2024
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