MRS. SIRISHA RAO MUTTAVARAPU M.D.
NPI 1902198443
Student in an Organized Health Care Education/Training Program in Canton, MI

Active since May 03, 2011
1600 S CANTON RD, STE 220, CIPC - CANTON FAMILY MEDICINE: ST. MARY MERCY HOSPITAL, CANTON, MI 48188(734) 398-8790(734) 398-8680 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Sirisha Rao Muttavarapu M.d. NPPES

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

MRS. SIRISHA RAO MUTTAVARAPU M.D. (NPI 1902198443) is an individual student in an organized health care education/training program in Canton, Michigan and active in the NPI registry since May 2011.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1902198443
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. SIRISHA RAO MUTTAVARAPUCredential: M.D.
Location Address1600 S CANTON RD, STE 220, CIPC - CANTON FAMILY MEDICINE: ST. MARY MERCY HOSPITALCanton, MI 48188-1992
Mailing Address1600 S Canton Rd, Ste 220, Ipc - Canton Family Medicine: St. Mary Mercy HospitalCanton, MI 48188-1992 · (734) 398-8790 · Fax (734) 398-8680
Fax(734) 398-8680
Sole ProprietorNo
Enumeration DateMay 3, 2011
NPI 1902198443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1600 S CANTON RD, STE 220, Canton, MI 48188

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902198443, enumerated as an "individual" on May 03, 2011.

The provider is located at 1600 S CANTON RD, STE 220 CIPC - CANTON FAMILY MEDICINE: ST. MARY MERCY HOSPITAL CANTON, MI 48188 and the phone number is (734) 398-8790.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.