Individual provider · Type 1 NPI

Revanth Kosaraju, MD

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

NPI number 1225615883 Active

Practice location

127 S San Vicente Blvd Bldg A3100
Los Angeles, CA 90048-3311

Call (310) 423-3277 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 1225615883

Revanth Kosaraju, MD's National Provider Identifier is 1225615883, issued on Mar 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 24, 2024.