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VISHNUMURTHY SHUSHRUTHA HEDNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 944-7701
(812) 981-6505
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(812) 944-7701
(812) 981-6505

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01076976A
IN
2084N0400X
Neurology Physician
49806
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201366510
IN
05
7100422930
KY
Enumeration date
06/24/2008
Last updated
01/13/2017
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