Individual provider · Type 1 NPI

Sruthi Siddada, MD

Student in an Organized Health Care Education/Training Program · Macomb County, MI

NPI number 1013710623 Active

Practice location

15855 19 Mile Rd., Clinton Township
Macomb County, MI 48038

Mailing address

15855 19 Mile Rd, Clinton Township
Macomb County, MI 48038

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

About NPI 1013710623

Sruthi Siddada, MD's National Provider Identifier is 1013710623, issued on Mar 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Macomb County, MI. The record was last updated on Mar 29, 2025.