REVANTH KOSARAJU MD
NPI 1225615883
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Revanth Kosaraju's NPI number?

The NPI number for Revanth Kosaraju is 1225615883. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Revanth Kosaraju's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Revanth Kosaraju was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2021

127 S SAN VICENTE BLVD BLDG A3100, LOS ANGELES, CA 90048(310) 423-3277 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2024, Mar 28, 2021 (2 updates tracked since 2021).

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About Revanth Kosaraju Md NPPES

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

REVANTH KOSARAJU MD (NPI 1225615883) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1225615883

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameREVANTH KOSARAJUCredential: MD

Location Address127 S SAN VICENTE BLVD BLDG A3100Los Angeles, CA 90048-3311

Mailing Address127 S San Vicente Blvd Bldg A3100Los Angeles, CA 90048-3311 · (310) 423-3277

Phone(310) 423-3277

Sole ProprietorYes

Enumeration DateMarch 28, 2021

Last NPPES UpdateJune 24, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1225615883 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.

127 S SAN VICENTE BLVD BLDG A3100, Los Angeles, CA 90048

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revanth Kosaraju's NPI number?

The NPI number for Revanth Kosaraju is 1225615883. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Revanth Kosaraju located?

Revanth Kosaraju practices at 127 S San Vicente Blvd Bldg A3100, Los Angeles, CA 90048. The listed phone number is (310) 423-3277.

What is Revanth Kosaraju's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Revanth Kosaraju was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.