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

Preetham Ezhilarasu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063209005

Preetham Ezhilarasu is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461
Phone: (718) 918-5640
Fax: (718) 918-3174
Show map & directions

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 number1063209005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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