Praveena Gandikota MD

NPI 1285849513 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1285849513
Gender Female
Enumeration Date 05/11/2007
Last Updated 10/29/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
ONE MEDICAL CENTER BLVD
SUITE 424
UPLAND PA, 19013, US
Phone (610) 338-1820
Fax (610) 338-1825
Business Location
ONE MEDICAL CENTER BLVD
SUITE 424
UPLAND PA, 19013, US
Phone (610) 338-1820
Fax (610) 338-1825
Toxanomy
Taxonomy Code 390200000X
License State Pennsylvania
License Number MT 185538
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According to our database, Praveena Gandikota MD NPI is 1285849513, taxonomy code is 390200000X and license number is MT 185538, license state is located at Pennsylvania. Praveena Gandikota MD physically located at One Medical Center Blvd, Upland PA, 19013. NPI Number Praveena Gandikota MD has the Individual type.

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1285849513 NPI number is provided on an as is basis without warranty of any kind. 1285849513 is maintained by the National Plan & Provider Enumeration System. The contents of Praveena Gandikota MD are for informational purposes only.