Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aishwariya Mudunuri

Individual provider Physician Assistant · NPI 1811851470

Aishwariya Mudunuri is a Physician Assistant in East Lansing, Michigan. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

1650 Ramblewood Dr Ste 300
East Lansing, MI 48823-7396
Phone: (517) 332-1200
Fax: (517) 351-7122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 310 S Maple Rd, Ann Arbor, MI 48103-3833 — (734) 794-3494
  • 1701 South Blvd E Ste 300, Rochester Hills, MI 48307-6120 — (248) 884-9710

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013544 (MI)

Record details

NPI number1811851470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address6185 Smithfield Dr, Troy, MI 48085-1081

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in East Lansing