Individual provider · Type 1 NPI

Judah Rajendran Ravi Raja Malar Vannan, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1194510016 Active

Practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Call (216) 338-5003 Map

Mailing address

Creighton University, 3100 N. Central Avenue
Phoenix, AZ 85012

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.

547 other providers at this address

Other student in an organized health care education/training program providers in Phoenix

See all in Phoenix →

About NPI 1194510016

Judah Rajendran Ravi Raja Malar Vannan, MD's National Provider Identifier is 1194510016, issued on Apr 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 11, 2025.