Individual provider · Type 1 NPI

Venkata Panganamamula

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

NPI number 1063238228 Active

Practice location

240 S 40th St, Office Of Clinical Affairs Sga Evans
Philadelphia, PA 19104

Mailing address

1001 Larchmont Place
Mount Laurel, NJ 08054

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 1063238228

Venkata Panganamamula's National Provider Identifier is 1063238228, issued on Dec 3, 2024. 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 Dec 3, 2024.