SRUTHI KODALI - NPI 1346093275 - Student in an Organized Health Care Education/Training Program in East Setauket, NY

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 Kodali NPPES

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

SRUTHI KODALI (NPI 1346093275) is an individual student in an organized health care education/training program in East Setauket, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1346093275

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSRUTHI KODALI

Location Address33 RESEARCH WAY STE 13East Setauket, NY 11733-3489

Mailing Address33 Research Way Ste 13East Setauket, NY 11733-3489

Phone(631) 444-4090

Sole ProprietorYes

Enumeration DateApril 10, 2024

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1346093275 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.

33 RESEARCH WAY STE 13, East Setauket, NY 11733

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