Individual
DR. SHRUTHI MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503-2530
(616) 267-2400
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301514268
MI
2080P0210X
Pediatric Nephrology Physician
Primary
4301514268
MI
Other
Enumeration date
03/20/2019
Last updated
08/25/2025
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