SRUTI BANDLAMURI
NPI 1750179990
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Sruti Bandlamuri's NPI number?

The NPI number for Sruti Bandlamuri is 1750179990. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Q: What is Sruti Bandlamuri's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sruti Bandlamuri was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2025PECOS Enrolled

1441 N 12TH ST FL 2, PHOENIX, AZ 85006(602) 521-5969 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sruti Bandlamuri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRUTI BANDLAMURI (NPI 1750179990) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750179990

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSRUTI BANDLAMURI

Location Address1441 N 12TH ST FL 2Phoenix, AZ 85006-2837

Mailing Address1441 N 12th St Fl 2Phoenix, AZ 85006-2837 · (602) 521-5969

Phone(602) 521-5969

Sole ProprietorYes

Enumeration DateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1750179990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

1441 N 12TH ST FL 2, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sruti Bandlamuri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKINZIE A STANLEY MD

Student in an Organized Health Care Education/Training Program