Individual provider · Type 1 NPI

Anoosha Kasanagottu, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1700348257 Active

Practice location

833 Chestnut St Ste 1210
Philadelphia, PA 19107-4428

Mailing address

160 E Erie Ave
Philadelphia, PA 19134-1011

Other practice locations

  • 160 E Erie Ave, Philadelphia, PA 19134-1011 · (571) 232-7789

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 1700348257

Anoosha Kasanagottu, DO's National Provider Identifier is 1700348257, issued on Apr 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 11, 2022.