Individual provider · Type 1 NPI

Prudvi Ramreddy Jakkiready

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

NPI number 1730065525 Active

Practice location

3630E Imperial Highway, Lynwood Ca 90262
Lynwood, CA 90262

Call (310) 900-8524 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 1730065525

Prudvi Ramreddy Jakkiready's National Provider Identifier is 1730065525, issued on Aug 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynwood, CA. The record was last updated on Mar 30, 2026.