Individual provider · Type 1 NPI

Deep Kanth Gorla, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1114607462 Active

Practice location

629 E 3rd St # 11218
Brooklyn, NY 11218-4909

Call (646) 431-3084 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 1114607462

Deep Kanth Gorla, MD's National Provider Identifier is 1114607462, issued on Jul 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 21, 2023.