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

Pramod Dagupati

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265228100

Pramod Dagupati is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

240 S 40th St Ofc OF Clinical AFFAIRS-S6A Evans
Philadelphia, PA 19104
Phone: (215) 573-2588
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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 number1265228100
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address11316 Cedarcliffe Dr, Austin, TX 78750-3609

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