Individual provider · Type 1 NPI

Sruthi Sivabhaskar

Student in an Organized Health Care Education/Training Program · Magnolia, TX

NPI number 1164289062 Active

Practice location

29 Trailing Lantana Pl
Magnolia, TX 77354-4160

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 1164289062

Sruthi Sivabhaskar's National Provider Identifier is 1164289062, issued on Mar 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Magnolia, TX. The record was last updated on Mar 6, 2024.