Individual
DR. SUSHRUTH SHENAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 S SAGINAW ST, SUITE 1800, FLINT, MI 48507
(810) 732-8336
Mailing address
4800 S SAGINAW ST, SUITE 1800, FLINT, MI 48507-2677
(810) 732-8336
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301098087
MI
207LA0401X
Addiction Medicine (Anesthesiology) Physician
4301098087
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301098087
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301098087
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
4301098087
MI
Other
Enumeration date
04/06/2011
Last updated
04/18/2025
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