Individual provider · Type 1 NPI

Sriram Manjunath Gubbi, MD

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

NPI number 1780060707 Active

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Call (718) 918-5000 Map

Mailing address

1130 Pelham Pkwy S Apt 4H
Bronx, NY 10461-1024

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 1780060707

Sriram Manjunath Gubbi, MD's National Provider Identifier is 1780060707, issued on Jul 31, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jul 31, 2015.