Individual
SHIVANI SURAVARJJALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14445 TALLYN WAY, CARMEL, IN 46074-4436
(317) 384-8373
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
03/28/2024
Last updated
03/29/2024
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