Individual
SHRUTIKA SUKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
810 VERSAILLES DR APT H, CENTERVILLE, OH 45459-6156
(647) 818-2113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010227RX
OH
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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