Individual provider · Type 1 NPI

Venkata Saiteja Pamidimukkala, DO

Student in an Organized Health Care Education/Training Program · Fontana, CA

NPI number 1003610528 Active

Practice location

17234 Valley Blvd
Fontana, CA 92335-6720

Call (925) 819-4476 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003610528

Venkata Saiteja Pamidimukkala, DO's National Provider Identifier is 1003610528, issued on Apr 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Apr 3, 2025.