Individual provider · Type 1 NPI

Sujith Kumar Samudrala

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

NPI number 1205332228 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Call (313) 966-1003 Map

Mailing address

1352 W Sunset Rd Apt 219
Port Washington, WI 53074-2450

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 1205332228

Sujith Kumar Samudrala's National Provider Identifier is 1205332228, issued on Mar 30, 2018. 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 Mar 30, 2018.