SAMYUTA KOMARAVOLU MD - NPI 1760237986 - Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Q: What is Samyuta Komaravolu's NPI number?

The NPI number for Samyuta Komaravolu is 1760237986. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Samyuta Komaravolu's specialty?

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

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About Samyuta Komaravolu Md NPPES

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

SAMYUTA KOMARAVOLU MD (NPI 1760237986) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1760237986

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMYUTA KOMARAVOLUCredential: MD

Location Address11234 ANDERSON ST # CLoma Linda, CA 92350-1716

Mailing AddressSchool Of Medicine Research Education Office Msc08-4560Albuquerque, NM 87131-0001 · (331) 454-3255

Phone(909) 558-4174

Sole ProprietorNo

Enumeration DateApril 22, 2024

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1760237986 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.

11234 ANDERSON ST # C, Loma Linda, CA 92350

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MURAD FAHAD ALDOGHMI

Student in an Organized Health Care Education/Training Program