person
Prathima Kandukuri
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1083316129

Prathima Kandukuri is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Prathima Kandukuri practices in Fort Worth, TX. The NPI Number for Prathima Kandukuri is 1083316129 and holds a License No. (Texas).

The current practice location address for Prathima Kandukuri is 3500 Camp Bowie Blvd, Fort Worth, TX and can be reached out via phone at 732-208-6445.

Location: 3500 Camp Bowie Blvd, Fort Worth, TX, 76107-2644
person
Provider Profile Details
NPI Number
1083316129
Provider Name
Prathima Kandukuri
Credential
Provider Entity Type
Individual
Gender
Female
Address
3500 Camp Bowie Blvd, Fort Worth, TX, 76107-2644
Phone Number
732-208-6445
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3500 Camp Bowie Blvd
City
State
Zip
76107-2644
Phone Number
732-208-6445
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Camp Bowie Blvd
City
State
Zip
76107-2644
Phone Number
732-208-6445
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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