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

Dr. Shruthi Manya Dericks, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285383489

Dr. Shruthi Manya Dericks, DO is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1130 W Michigan St
Indianapolis, IN 46202-5209
Phone: (317) 274-0076
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1285383489
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address1130 W Michigan St, Indianapolis, IN 46202-5209

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