Individual provider · Type 1 NPI

Sri Ratna Divya Nanduri

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1689461899 Active

Practice location

1800 N. California Street
Stockton, CA 95204

Call (209) 547-7177 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 1689461899

Sri Ratna Divya Nanduri's National Provider Identifier is 1689461899, issued on Apr 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Dec 18, 2025.