Individual provider · Type 1 NPI

Koushik Mantripragada, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1265019186 Active

Practice location

22 S Greene St
Baltimore, MD 21201-1544

Call (410) 328-6713 Map

Mailing address

234 Goodman Street
Cincinnati, OH 45219-0796

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 1265019186

Koushik Mantripragada, MD's National Provider Identifier is 1265019186, issued on Mar 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on May 11, 2023.