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Individual

DR. SUMANT NANDURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS, MD

Contact information

Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
(260) 463-3775
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01094218A
IN

Other

Enumeration date
04/08/2021
Last updated
07/15/2024
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