Individual provider · Type 1 NPI

Annu Reeba Suresh

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1023713914 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Civic Center Blvd Fl 4
Philadelphia, PA 19104-5127

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT238158 (PA)

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 1023713914

Annu Reeba Suresh's National Provider Identifier is 1023713914, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 13, 2026.