Individual provider · Type 1 NPI

Vijay Sam Nethala, M.B.B.S

Student in an Organized Health Care Education/Training Program · Tucson, AZ

NPI number 1093493355 Active

Practice location

6200 N La Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

8323 N Shannon Rd
Tucson, AZ 85742-9597

Other practice locations

  • 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 · (575) 386-9110

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR80442 (AZ)

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 1093493355

Vijay Sam Nethala, M.B.B.S's National Provider Identifier is 1093493355, issued on Jul 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucson, AZ. The record was last updated on Jul 7, 2023.