SHRUTHI MANYA DERICKS

INDIANAPOLIS, IN
NPI1285383489
Former NameSHRUTHI GARUGU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-23
Last Update Date2023-06-12
Business Address
Dr. SHRUTHI MANYA DERICKS DO
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202-5209
Phone number: 317-274-0076
Mailing Address
Dr. SHRUTHI MANYA DERICKS DO
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202-5209
Phone number: