Individual provider · Type 1 NPI

Meghana R. Ranabothu

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1063270619 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Call (313) 966-3250 Map

Mailing address

2002 Friesian Ct NE
Grand Rapids, MI 49505-3964

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351055226 (MI)

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 1063270619

Meghana R. Ranabothu's National Provider Identifier is 1063270619, issued on Mar 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 13, 2025.