Individual provider · Type 1 NPI

Revathi Kudithi

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

NPI number 1639968779 Active

Practice location

3401 North Boulevard Brg Mid City Medicine Clinic, Suite 130
Baton Rouge, LA 70806

Call (225) 287-7900 Map

Mailing address

3401 North Boulevard Suite 130, Brg Mid City Medicine C
Baton Rouge, LA 70806

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.

Other student in an organized health care education/training program providers in Baton Rouge

See all in Baton Rouge →

About NPI 1639968779

Revathi Kudithi's National Provider Identifier is 1639968779, issued on May 5, 2025. 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 Oct 31, 2025.