Provider Demographics
NPI:1225479678
Name:JINNA, SRUTHI (MD)
Entity Type:Individual
Prefix:
First Name:SRUTHI
Middle Name:
Last Name:JINNA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-884-5196
Mailing Address - Fax:248-696-3175
Practice Address - Street 1:TRINITY HEALTH IHA MEDICAL GROUP ENDOCRINOLOGY
Practice Address - Street 2:19000 ST JOE'S PARKWAY STE 300
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1477
Practice Address - Country:US
Practice Address - Phone:734-884-5196
Practice Address - Fax:248-696-3175
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2023-08-16
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Provider Licenses
StateLicense IDTaxonomies
MI4301102959207R00000X, 208000000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics