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NPI Verification

National Provider Identifier: 1457795205

Shanthakumari Praveen Jinnur, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (4)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Family Medicine, Bariatric Medicine

Code: 207QB0002X

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

250 N SHADELAND AVE

INDIANAPOLIS, IN 462194959

NPI Enumeration Date

April 23, 2013

NPI Number

1457795205

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry