Individual provider · Type 1 NPI

Tanesh Kumar Ayyalu, MD

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1639707441 Active

Practice location

10201 66th Rd
Forest Hills, NY 11375-2029

Call (718) 830-4352 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 1639707441

Tanesh Kumar Ayyalu, MD's National Provider Identifier is 1639707441, issued on Mar 28, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 28, 2020.