Individual provider · Type 1 NPI

Mythili Jyothirmayi Kanagala

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1063208924 Active

Practice location

Milesquare Lp Johnson Center 1221 E. State St.
Rockford, IL 61104

Call (815) 972-1037 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 1063208924

Mythili Jyothirmayi Kanagala's National Provider Identifier is 1063208924, issued on Apr 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Apr 17, 2025.