Individual provider · Type 1 NPI

Ayeesha Kattubadi

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1013682004 Active

Practice location

1830 E Monument St Ste 416
Baltimore, MD 21287-0020

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

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 1013682004

Ayeesha Kattubadi's National Provider Identifier is 1013682004, issued on Aug 11, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 5, 2026.