Provider Demographics
NPI:1558180190
Name:RAPROLU, SAI SRUTHI (MD)
Entity type:Individual
Prefix:
First Name:SAI SRUTHI
Middle Name:
Last Name:RAPROLU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 N 94TH PL UNIT 207
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5129
Mailing Address - Country:US
Mailing Address - Phone:628-468-7166
Mailing Address - Fax:
Practice Address - Street 1:9500 E IRONWOOD SQUARE DR STE 201
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4584
Practice Address - Country:US
Practice Address - Phone:480-401-0566
Practice Address - Fax:480-664-8998
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR80737207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism