Provider Demographics
NPI:1023679925
Name:KYURAGI, RUTESARA SARAH LUTHE (MD, MPH, PHD)
Entity type:Individual
Prefix:
First Name:RUTESARA
Middle Name:SARAH LUTHE
Last Name:KYURAGI
Suffix:
Gender:F
Credentials:MD, MPH, PHD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KYURAGI
Other - Last Name:LUTHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH, PHD
Mailing Address - Street 1:550 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5149
Mailing Address - Country:US
Mailing Address - Phone:317-944-5000
Mailing Address - Fax:
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5149
Practice Address - Country:US
Practice Address - Phone:317-944-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-23
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11020763A390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program