Individual provider · Type 1 NPI

Vishwanath Thondamala, MD

Student in an Organized Health Care Education/Training Program · Du Bois, PA

NPI number 1285322487 Active

Practice location

123 Hospital Ave
Du Bois, PA 15801-1409

Fax (814) 375-9320

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT236601 (PA)
Sports Medicine (Family Medicine) Physician 207QS0010XMT236601 (PA)
Family Medicine Physician 207Q00000XMT236601 (PA)

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 1285322487

Vishwanath Thondamala, MD's National Provider Identifier is 1285322487, issued on Apr 26, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Du Bois, PA. The record was last updated on Sep 8, 2026.