Individual provider · Type 1 NPI

Andrew Jayadeva Puthran

Student in an Organized Health Care Education/Training Program · South Bend, IN

NPI number 1487484630 Active

Practice location

1234 N Notre Dame Ave
South Bend, IN 46617-1404

Call (574) 631-5574 Map

Mailing address

14550 Overbrook Dr
Carmel, IN 46074-7727

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 1487484630

Andrew Jayadeva Puthran's National Provider Identifier is 1487484630, issued on Aug 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Bend, IN. The record was last updated on Aug 2, 2024.