Individual provider · Type 1 NPI

Susmitha Edappallath, MD

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1093159477 Active

Practice location

Baystate Medical Ctr, 759 Chestnut Street
Springfield, MA 01199-0001

Call (413) 794-0000 Map

Mailing address

3053 Guilford Ave, Apartment #2
Baltimore, MD 21218-3926

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 1093159477

Susmitha Edappallath, MD's National Provider Identifier is 1093159477, issued on Apr 29, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Apr 29, 2013.