Provider Demographics
NPI:1972767655
Name:NALAWADI, SMRUTI SHAILESH (MD)
Entity type:Individual
Prefix:MRS
First Name:SMRUTI
Middle Name:SHAILESH
Last Name:NALAWADI
Suffix:
Gender:
Credentials:MD
Other - Prefix:MISS
Other - First Name:SMRUTI
Other - Middle Name:
Other - Last Name:PATIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18181 BUTTERFIELD BLVD # 180A
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-8108
Mailing Address - Country:US
Mailing Address - Phone:408-356-8400
Mailing Address - Fax:855-824-6677
Practice Address - Street 1:18181 BUTTERFIELD BLVD # 180A
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-8108
Practice Address - Country:US
Practice Address - Phone:408-356-8400
Practice Address - Fax:855-824-6677
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 104130207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine