SRUTHI RENATI (NPI# 1346620572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346620572 |
| Entity Type | Individual |
| Full Name | SRUTHI RENATI |
| Credential | M.D. |
| Practice Address |
24 Frank Lloyd Wright Dr Lobby H Suite 2350 Ann Arbor MI 48105 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349364054 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301117582 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18101 Oakwood Blvd, Dearborn, MI 481244089 | 3135937000 |
| Street Address |
24 FRANK LLOYD WRIGHT DR LOBBY H SUITE 2350 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529127 | Paula Tuohy Miska | Nurse Practitioner | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48109 | 2005-06-23 |
| 1629540992 | Regents of The University of Michigan | Durable Medical Equipment & Medical Supplies | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-12-26 |
| 1477021160 | Lisa Jane Bosio | Registered Nurse | 24 Frank Lloyd Wright Dr, Lobby C Suite 1300, Ann Arbor, MI 48105-9484 | 2018-11-12 |
| 1770073199 | Regents of The University of Michigan | Dietitian, Registered | 24 Frank Lloyd Wright Dr, Dominos Farms Lobby C Suite 1300, Ann Arbor, MI 48106 | 2018-05-10 |
| 1861998411 | Dale Douglas Hazard | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-04-03 |
| 1144724303 | Kanisha Ward | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-22 |
| 1851894109 | Kristy Jo Bonasso | Occupational Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-13 |
| 1932602612 | Eric Kilpatrick | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-09 |
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1912409897 | Gary Kufel | Physical Medicine & Rehabilitation | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790132439 | Saara Kanervikkoaho-crane | Dermatology | 1517 Granger Ave, Ann Arbor, MI 48104-4426 | 2016-05-23 |
| 1174915532 | Sonam Rama | Dermatology | 305 E Eisenhower Pkwy Ste 320, Ann Arbor, MI 48108 | 2015-02-23 |
| 1235576174 | Matthew Paul Vasievich | Dermatology | 4200 Whitehall Dr Ste 250, Ann Arbor, MI 48105-9694 | 2013-06-02 |
| 1013114602 | Frank Wang | Dermatology | 1500 E. Medical Ctr Dr, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109-5314 | 2007-06-28 |
| 1306967542 | Arthur P Bertolino | Dermatology | 2800 Plymouth Rd, Ann Arbor, MI 48105-2430 | 2007-04-03 |
| 1770673436 | Anastasia Petro Dimick | Dermatology | 2433 Oak Valley Dr., Ste. 400, Ann Arbor, MI 48103 | 2006-10-13 |
| 1962592626 | Kathy Laing, M.d., P.C. | Dermatology | 2433 Oak Valley Drive, Suite 400, Ann Arbor, MI 48103 | 2006-10-13 |
| 1255428025 | Timothy M Johnson | Dermatology | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2006-10-05 |
| 1487600474 | Muna K. Farjo,m.d., P.C. | Dermatology | 3001 Plymouth Rd, Suite # 101, Ann Arbor, MI 48105-3205 | 2006-05-25 |
| 1407841349 | Joan Marie Rindler | Dermatology | 2301 S Huron Pkwy, Suite 2b, Ann Arbor, MI 48104-5133 | 2005-09-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.