Individual provider · Type 1 NPI
Pruthvi Chenniganahosahalli Revaiah, M.B.B.S., MD, D.M
Student in an Organized Health Care Education/Training Program · New York, NY
Practice location
One Gustave L.levy Place Box 1030, Mount Sinai Hospital
New York, NY 10029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1255137378
Pruthvi Chenniganahosahalli Revaiah, M.B.B.S., MD, D.M's National Provider Identifier is 1255137378, issued on Feb 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Aug 27, 2025.