Shanti Virupannavar D.O.

NPI 1003109075 - Internal Medicine - 207R00000X

NPI Details
NPI 1003109075
Gender Female
Enumeration Date 05/24/2011
Last Updated 05/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
138 SERVICE RD
A225 CLINICAL CENTER
EAST LANSING MI, 48824-1376, US
Phone (517) 353-4941
Fax (517) 432-3145
Business Location
B301 CLINICAL CTR
EAST LANSING MI, 48824-1313, US
Phone (517) 353-5100
Fax (517) 432-2759
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5101019203
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According to our database, Dr. Shanti Virupannavar D.O. NPI is 1003109075, taxonomy code is 207R00000X and license number is 5101019203, license state is located at Michigan. Shanti Virupannavar D.O. physically located at 138 Service Rd, East Lansing MI, 48824-1376. NPI Number Shanti Virupannavar D.O. has the Individual type.

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1003109075 NPI number is provided on an as is basis without warranty of any kind. 1003109075 is maintained by the National Plan & Provider Enumeration System. The contents of Shanti Virupannavar D.O. are for informational purposes only.