Individual provider · Type 1 NPI

Vidya Nelacanti, MD

Student in an Organized Health Care Education/Training Program · Maumee, OH

NPI number 1043576366 Active

Practice location

6005 Monclova Rd, St Luke's Hospital Family Medicine
Maumee, OH 43537-1864

Call (419) 383-5522 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 1043576366

Vidya Nelacanti, MD's National Provider Identifier is 1043576366, issued on Apr 11, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maumee, OH. The record was last updated on Dec 17, 2021.