MEDICARE: SRUTHI JINNA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301102959	MI
2	208000000X	Pediatrics Physician	4301102959	MI
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	4301102959	MI

General Provider Information

NPI Number	:	1225479678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SRUTHI JINNA MD

Provider Business Mailing Address
First Line	:	24 FRANK LLOYD WRIGHT DRIVE
Second Line	:	SUITE J2000
City	:	ANN ARBOR
State	:	MI
Zip	:	48105
Country	:	US
Telephone Number	:	734-884-5196
Fax Number	:	248-696-3175

Provider Business Practice Location Address
First Line	:	TRINITY HEALTH IHA MEDICAL GROUP ENDOCRINOLOGY
Second Line	:	19000 ST JOE'S PARKWAY STE 300
City	:	LIVONIA
State	:	MI
Zip	:	48152-1477
Country	:	US
Telephone Number	:	734-884-5196
Fax Number	:	248-696-3175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	08/16/2023

Similar Medicare Providers

1659803757 — DR. SARAH EMILY GOODHEART D.O.
Practice Location Address:

19000 ST JOES PKWY STE 210
LIVONIA, MI
48152-1477

Practice Phone: 734-655-8250
Practice Fax: 734-655-8255

1073724597 — DR. MONICA JOY HILL M.D.
Practice Location Address:

19000 ST JOES PKWY STE 210
LIVONIA, MI
48152-1477

Practice Phone: 734-655-8250
Practice Fax: 734-655-8255

1205191202 — DR. CANDICE KIMBERLY GATES M.D
Practice Location Address:

19000 ST JOES PKWY STE 210
LIVONIA, MI
48152-1477

Practice Phone: 734-655-8250
Practice Fax: 734-655-8255

1013261734 — SUSAN CAMPITELLE ANP-BC
Practice Location Address:

19000 ST JOES PKWY STE 330
LIVONIA, MI
48152-1477

Practice Phone: 734-884-5263
Practice Fax: 734-884-5264

1972916914 — ANNA KALBFELL M.D.
Practice Location Address:

19000 ST JOES PKWY STE 210
LIVONIA, MI
48152-1477

Practice Phone: 734-655-8250
Practice Fax: 734-655-8255

1255786612 — NATALIE JOAN LARES D.O.
Practice Location Address:

19000 ST JOES PKWY STE 310
LIVONIA, MI
48152-1477

Practice Phone: 734-743-4540
Practice Fax:

Directions to “ SRUTHI JINNA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.