person
Dr. Shruthi Manya Dericks, DO
Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana
NPI 1285383489

Shruthi Manya Dericks is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. Shruthi Manya Dericks practices in Indianapolis, IN and has the professional credentials of DO. The NPI Number for Shruthi Manya Dericks is 1285383489 and holds a License No. (Indiana).

The current practice location address for Shruthi Manya Dericks is 1130 W Michigan St, Indianapolis, IN and can be reached out via phone at 317-274-0076.

Location: 1130 W Michigan St, Indianapolis, IN, 46202-5209
person
Provider Profile Details
NPI Number
1285383489
Provider Name
Shruthi Manya Dericks
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1130 W Michigan St, Indianapolis, IN, 46202-5209
Phone Number
317-274-0076
Fax Number
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1130 W Michigan St
City
State
Zip
46202-5209
Phone Number
317-274-0076
Fax Number
person
Provider Business Mailing Address Details
Address
1130 W Michigan St
City
State
Zip
46202-5209
Phone Number
317-274-0076
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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