Individual provider · Type 1 NPI

Mamatha Gajulavarthi

Student in an Organized Health Care Education/Training Program · Mckeesport, PA

NPI number 1205330107 Active

Practice location

Upmc Mckeesport Internal Medicine Center, 1321 Fifth Avenue
Mckeesport, PA 15132

Call (412) 664-2782 Map

Fax (412) 664-2784

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 1205330107

Mamatha Gajulavarthi's National Provider Identifier is 1205330107, issued on Mar 23, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mckeesport, PA. The record was last updated on Mar 23, 2018.