SRUTHI S NANDURI YAKKANTI D.O. - NPI 1215632146 - Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Sruthi S Nanduri Yakkanti D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRUTHI S NANDURI YAKKANTI D.O. (NPI 1215632146) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since March 2023. She maintains a secondary practice location in Bowling Green.

NPPES Registry Identity

NPI1215632146

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSRUTHI S NANDURI YAKKANTICredential: D.O.

Location Address220 ABRAHAM FLEXNER WAY RM 1531Louisville, KY 40202-3826

Mailing Address250 Park StBowling Green, KY 42101-1760

Phone(502) 588-4707

Sole ProprietorNo

Enumeration DateMarch 31, 2023

Last NPPES UpdateApril 14, 20242 updates tracked since enumeration

NPPES CertifiedApril 14, 2024

✔ NPI 1215632146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

220 ABRAHAM FLEXNER WAY RM 1531, Louisville, KY 40202

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