Individual
MISS SHRUTHI JANARDHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 CRANBERRY RD STE 200A, GALAX, VA 24333-0009
(276) 773-2063
Mailing address
104 CRANBERRY RD, GALAX, VA 24333-2682
(276) 773-2063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101280430
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME157581
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2019
Last updated
10/04/2024
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