Individual provider · Type 1 NPI

Gangadhara Naga Raghavendran Seethala, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1427360528 Active

Practice location

301 E 17th St
New York, NY 10003-3804

Mailing address

500 E 76th St, Apt # 3 Rs,
New York, NY 10021-3160

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 1427360528

Gangadhara Naga Raghavendran Seethala, MD's National Provider Identifier is 1427360528, issued on Jul 6, 2010. 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 Jul 5, 2012.