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Vikalpa Maruti Dammavalam, DO
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1023646957

Vikalpa Maruti Dammavalam is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Vikalpa Maruti Dammavalam practices in Stony Brook, NY and has the professional credentials of DO. The NPI Number for Vikalpa Maruti Dammavalam is 1023646957 and holds a License No. (New York).

The current practice location address for Vikalpa Maruti Dammavalam is 101 Nicolls Rd # T12020, Stony Brook, NY and can be reached out via phone at 631-444-2599.

Location: 101 Nicolls Rd # T12020, Stony Brook, NY, 11794-8121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023646957
Provider Name
Vikalpa Maruti Dammavalam
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd # T12020, Stony Brook, NY, 11794-8121
Phone Number
631-444-2599
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd # T12020
City
Stony Brook
State
New York
Zip
11794-8121
Phone Number
631-444-2599
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd # T12020
City
Stony Brook
State
New York
Zip
11794-8121
Phone Number
631-444-2599
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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