Individual provider · Type 1 NPI

Sruthi Boddeti

Student in an Organized Health Care Education/Training Program · North Bergen, NJ

NPI number 1629964101 Active

Practice location

7600 River Road, Hmh Palisades Medical Center
North Bergen, NJ 07047

Call (551) 996-2017 Map

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 1629964101

Sruthi Boddeti's National Provider Identifier is 1629964101, issued on Jun 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Bergen, NJ. The record was last updated on Mar 26, 2026.