Individual
SRUTHI S NANDURI YAKKANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
220 ABRAHAM FLEXNER WAY RM 1531, LOUISVILLE, KY 40202-3826
(502) 588-4707
Mailing address
250 PARK ST, BOWLING GREEN, KY 42101-1760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
04/14/2024
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