Individual provider · Type 1 NPI

Theja Bhamidipati, DO

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

NPI number 1801526397 Active

Practice location

5501 Old York Rd
Philadelphia, PA 19141-3018

Call (215) 456-3930 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 1801526397

Theja Bhamidipati, DO's National Provider Identifier is 1801526397, issued on Jun 16, 2022. 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 Jun 16, 2022.