Provider Demographics
NPI:1275160384
Name:SANKURATRI, VARUN C (DO)
Entity Type:Individual
Prefix:DR
First Name:VARUN
Middle Name:C
Last Name:SANKURATRI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16515 NINETEEN MILE RD
Mailing Address - Street 2:GME OFFICE: ATTENTION OBGYN PC KELLY BENNET
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038
Mailing Address - Country:US
Mailing Address - Phone:586-263-2978
Mailing Address - Fax:
Practice Address - Street 1:16515 NINETEEN MILE RD
Practice Address - Street 2:GME OFFICE: ATTENTION OBGYN PC KELLY BENNET
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038
Practice Address - Country:US
Practice Address - Phone:618-795-5484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5151014316207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology