VISHAKHA GANGADHARAN
NPI 1871273946
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since July 24, 2023
3409 PALLISER WAY, MODESTO, CA 95355(209) 241-4452 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vishakha Gangadharan NPPES

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

VISHAKHA GANGADHARAN (NPI 1871273946) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1871273946
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVISHAKHA GANGADHARAN
Location Address3409 PALLISER WAYModesto, CA 95355-9744
Mailing Address3409 Palliser WayModesto, CA 95355-9744 · (209) 241-4452
Sole ProprietorNo
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 22, 2023
NPI 1871273946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

3409 PALLISER WAY, Modesto, CA 95355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871273946, enumerated as an "individual" on July 24, 2023.

The provider is located at 3409 PALLISER WAY MODESTO, CA 95355 and the phone number is (209) 241-4452.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.