Individual provider · Type 1 NPI

Medha Rajamanuri, MD

Student in an Organized Health Care Education/Training Program · Springfield, IL

NPI number 1912638172 Active

Practice location

751 N Rutledge St # 1100
Springfield, IL 62702-4968

Call (217) 535-8000 Map

Fax (217) 545-8000

Mailing address

3000 Staunton Ave SE, Apt 18
Charleston, WV 25304

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 1912638172

Medha Rajamanuri, MD's National Provider Identifier is 1912638172, issued on Jun 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, IL. The record was last updated on Jul 5, 2023.