Individual provider · Type 1 NPI
Pavan Theja Vaddera, MD
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1093662710
Active
Practice location
One Gustave L. Levy Place, Box 1030 Mount Sinai Hospita
New York, NY 10029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1093662710
Pavan Theja Vaddera, MD's National Provider Identifier is 1093662710, issued on Mar 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Sep 14, 2026.