Individual provider · Type 1 NPI

Avinash Simhachala Kolli

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1104404219 Active

Practice location

17 Davis Blvd
Tampa, FL 33606-3475

Mailing address

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Other practice locations

  • 17 Davis Blvd, Tampa, FL 33606-3475 · (813) 974-2201

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 1104404219

Avinash Simhachala Kolli's National Provider Identifier is 1104404219, issued on Mar 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Apr 3, 2021.