Individual provider · Type 1 NPI

Maithri Vallabhaneni, MD

Student in an Organized Health Care Education/Training Program · Baton Rouge, LA

NPI number 1619600822 Active

Practice location

3401 North Blvd Ste 130
Baton Rouge, LA 70806-3743

Mailing address

8451 Picardy Ave Apt 2311
Baton Rouge, LA 70809-3777

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 1619600822

Maithri Vallabhaneni, MD's National Provider Identifier is 1619600822, issued on Jul 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 5, 2022.