Individual provider · Type 1 NPI

Sanjay Vallabhaneni

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1780554337 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Call (888) 362-2500 Map

Mailing address

645 Hardwick Dr
Aurora, OH 44202-7004

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 1780554337

Sanjay Vallabhaneni's National Provider Identifier is 1780554337, issued on Nov 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Nov 10, 2025.