Dr. Pradyotha Kanchustambham
Dr. Pradyotha Kanchustambham is a Student in an Organized Health Care Education/Training Program in El Paso, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
10175 Gateway Blvd W Ste 300El Paso, TX 79925-7618
Phone: (915) 263-6933
Fax: (915) 599-4105
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1689314197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 31, 2022 |
| Last updated in NPPES | March 31, 2022 |
| Certification date | March 31, 2022 |
| Mailing address | 10175 Gateway Blvd W Ste 300, El Paso, TX 79925-7618 |
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