SHRUTHI MANYA DERICKS

LAFAYETTE, IN
NPI1285383489
Former NameSHRUTHI GARUGU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  02009207A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-23
Last Update Date2026-09-02
Business Address
Dr. SHRUTHI MANYA DERICKS DO
5165 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: 765-448-8000
Mailing Address
Dr. SHRUTHI MANYA DERICKS DO
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: