Provider Demographics
NPI:1962290015
Name:LURAY, MRIDU (MD)
Entity type:Individual
Prefix:MS
First Name:MRIDU
Middle Name:
Last Name:LURAY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MRIDU
Other - Middle Name:
Other - Last Name:SHARMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:89 RASPBERRY RIDGE AVENUE
Mailing Address - Street 2:
Mailing Address - City:CALEDON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L7C 4N2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:966 BARTLEY STREET
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546
Practice Address - Country:US
Practice Address - Phone:812-996-7810
Practice Address - Fax:812-996-8465
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program