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Individual

SUNITHA GOVINDASWAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01084782A
IN
207L00000X
Anesthesiology Physician
4301065371
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300044695
IN
Enumeration date
11/17/2006
Last updated
12/18/2020
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