Individual provider · Type 1 NPI

Kavya Shankar Muttanahally

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1811549181 Active

Practice location

Uconn School Of Dental Medicine 263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2952 Map

Mailing address

33 Lakeshore Dr Apt B2
Farmington, CT 06032-1268

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 1811549181

Kavya Shankar Muttanahally's National Provider Identifier is 1811549181, issued on Jul 16, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 16, 2019.