Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Prudhvi Kumar Davala, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104664812

Mr. Prudhvi Kumar Davala, MD is a Student in an Organized Health Care Education/Training Program in Denville, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25 Pocono Road Saint Clare's Health Graduate Medical Education
Denville, NJ 07834
Phone: (973) 365-4661
Fax: (973) 365-4848
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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

Record details

NPI number1104664812
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESJune 13, 2025
Mailing address25 Pocono Road, Saint Clare'S Health, Graduate Medical Education, Denville, NJ 07834

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