Individual provider · Type 1 NPI

Ravi Pulusu

Student in an Organized Health Care Education/Training Program · Smyrna, GA

NPI number 1205683059 Active

Practice location

582 Concord Rd SE
Smyrna, GA 30082-2616

Call (470) 956-4000 Map

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 1205683059

Ravi Pulusu's National Provider Identifier is 1205683059, 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 Smyrna, GA. The record was last updated on Apr 30, 2024.