Individual provider · Type 1 NPI

Pavan Kumar Reddy Kalluru, MD

Student in an Organized Health Care Education/Training Program · Anaheim, CA

NPI number 1497507917 Active

Practice location

3033 W. Orange Ave
Anaheim, CA 92804

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 1497507917

Pavan Kumar Reddy Kalluru, MD's National Provider Identifier is 1497507917, issued on Apr 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Anaheim, CA. The record was last updated on Oct 2, 2024.