Individual provider · Type 1 NPI

Vinay Maddula

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1174224075 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-3720

Call (860) 679-2000 Map

Other practice locations

  • 622 W 168th St, New York, NY 10032-3720 · (212) 305-6100

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X13761 (CT)

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 1174224075

Vinay Maddula's National Provider Identifier is 1174224075, issued on Mar 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on May 19, 2023.