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Vijay Sam Nethala, MBBS
Student in an Organized Health Care Education/Training Program in Tucson, Arizona
NPI 1093493355

Vijay Sam Nethala is a Student in an Organized Health Care Education/Training Program based in Tucson, AZ. Vijay Sam Nethala practices in Tucson, AZ and has the professional credentials of MBBS. The NPI Number for Vijay Sam Nethala is 1093493355 and holds a License No. R80442 (Arizona).

The current practice location address for Vijay Sam Nethala is 6200 N La Cholla Blvd, Tucson, AZ and can be reached out via phone at 575-386-9110.

Location: 6200 N La Cholla Blvd, Tucson, AZ, 85742-9597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093493355
Provider Name
Vijay Sam Nethala
Credential
MBBS
Provider Entity Type
Individual
Gender
Male
Address
6200 N La Cholla Blvd, Tucson, AZ, 85742-9597
Phone Number
575-386-9110
Fax Number
Provider Enumeration Date
07/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6200 N La Cholla Blvd
City
Tucson
State
Arizona
Zip
85741-3529
Phone Number
575-386-9110
Fax Number
person
Provider Business Mailing Address Details
Address
6200 N La Cholla Blvd
City
Tucson
State
Arizona
Zip
85741-3529
Phone Number
575-386-9110
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.
R80442 (Arizona)
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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