Individual
SHRUTHI CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 24TH AVE S STE 300, MINNEAPOLIS, MN 55454-1437
(612) 273-7111
Mailing address
606 24TH AVE S STE 300, MINNEAPOLIS, MN 55454-1437
(612) 273-7111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
76401
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
04/30/2024
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