Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jyothi Pravallika Edupuganti, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205638723

Jyothi Pravallika Edupuganti, DO is a Student in an Organized Health Care Education/Training Program in Cornelius, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583
Phone: (704) 316-5170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence RTL25-1107 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205638723
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 25, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

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