Individual provider · Type 1 NPI

Chaitanya Gurrala, MDS

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

NPI number 1881440295 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

309 Mary Esther Dr
Enfield, CT 06082-2159

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X14133 (CT)

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 1881440295

Chaitanya Gurrala, MDS's National Provider Identifier is 1881440295, issued on Apr 26, 2024. 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 Jun 30, 2024.