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NPI Code Detail

MEDICARE: SAI SRUTHI RAPROLU MD

MEDICARE: SAI SRUTHI RAPROLU 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
1390200000XStudent in an Organized Health Care Education/Training ProgramLL4629NV

General Provider Information

NPI Number : 1558180190
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAI SRUTHI RAPROLU MD
Provider Business Mailing Address
First Line : 9550 N 94TH PL UNIT 207
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-5129
Country : US
Telephone Number : 628-468-7166
Fax Number :
Provider Business Practice Location Address
First Line : 1701 W CHARLESTON BLVD STE 670
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2343
Country : US
Telephone Number : 702-944-2828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 06/16/2026

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Directions to “ SAI SRUTHI RAPROLU MD” Practice Location

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