Individual provider · Type 1 NPI

Sai Shanmukha Sreera Pannala, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1013603141 Active

Practice location

475, Seaview Avenue, Department Of Medince
Staten Island, NY 10305

Call (718) 226-8313 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 1013603141

Sai Shanmukha Sreera Pannala, MD's National Provider Identifier is 1013603141, issued on Apr 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 11, 2023.