Individual provider · Type 1 NPI

Sai Goutham Reddy Yartha, MD

Student in an Organized Health Care Education/Training Program · Inglewood, CA

NPI number 1184470015 Active

Practice location

555 East Hardy Street, Prime West Consortuim Centinela
Inglewood, CA 90301

Fax (310) 412-4021

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 1184470015

Sai Goutham Reddy Yartha, MD's National Provider Identifier is 1184470015, issued on Apr 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Inglewood, CA. The record was last updated on Nov 26, 2024.