Individual provider · Type 1 NPI

Raja Narendra Divakar Addanki, MBBS

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1174464036 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Call (412) 224-8316 Map

Mailing address

156 Robinson St
Pittsburgh, PA 15213-2522

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 1174464036

Raja Narendra Divakar Addanki, MBBS's National Provider Identifier is 1174464036, issued on Apr 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 3, 2026.