Individual provider · Type 1 NPI
Anusha Mudigonda
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1134090798
Active
Practice location
177 Fort Washington Ave
New York, NY 10032-3733
Mailing address
100 Haven Ave
New York, NY 10032-2645
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 1134090798
Anusha Mudigonda's National Provider Identifier is 1134090798, issued on Sep 16, 2025. 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 16, 2025.