Individual provider · Type 1 NPI
Manas Vaibhav Pustake, MD
Student in an Organized Health Care Education/Training Program · El Paso, TX
Practice location
4800 Alberta Avenue Msc 51009
El Paso, TX 79905
Mailing address
165 W Castellano Dr, Apt 3307
El Paso, TX 79912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | BP10090533 (TX) |
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 1093564874
Manas Vaibhav Pustake, MD's National Provider Identifier is 1093564874, issued on May 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Paso, TX. The record was last updated on Jul 22, 2024.