Individual provider · Type 1 NPI

Joel Sukumar Sandrugu, M.B.B.S

Student in an Organized Health Care Education/Training Program · Fort Walton Beach, FL

NPI number 1790533487 Active

Practice location

1000 Mar Walt Dr. Fort Walton Beach, Hca Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL 32547

Call (850) 969-4500 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 1790533487

Joel Sukumar Sandrugu, M.B.B.S's National Provider Identifier is 1790533487, issued on May 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Sep 26, 2024.