Individual provider · Type 1 NPI

Shivendra Tangutoori, MD

Student in an Organized Health Care Education/Training Program · Harlan, KY

NPI number 1114605474 Active

Practice location

81 Ball Park Rd
Harlan, KY 40831-1792

Call (606) 573-8100 Map

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 1114605474

Shivendra Tangutoori, MD's National Provider Identifier is 1114605474, 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 Harlan, KY. The record was last updated on Jul 7, 2023.