Individual provider · Type 1 NPI

Siva Keerthana Suddapalli

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1063272045 Active

Practice location

3501 Saint Paul St Apt 808
Baltimore, MD 21218-2769

Mailing address

1100 Butte St
Redding, CA 96001-0852

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 1063272045

Siva Keerthana Suddapalli's National Provider Identifier is 1063272045, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 27, 2024.