Individual
SUSHMITHA MEDAPPA MARUVANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 S MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112-5888
(801) 581-2121
Mailing address
81 S MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112-5888
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
14224155-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
07/11/2022
Last updated
05/22/2025
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