Individual
SATYANARAYANA MARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1630 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933-1092
(765) 359-2230
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01030048A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093741
ANTHEM ID#
IN
05
—
100185550A
—
IN
Enumeration date
11/14/2006
Last updated
07/17/2020
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