Individual provider · Type 1 NPI

Pranav Bollavaram

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1629658133 Active

Practice location

395 W 12th Ave
Columbus, OH 43210-1267

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 1629658133

Pranav Bollavaram's National Provider Identifier is 1629658133, issued on Apr 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Aug 8, 2022.