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Koteshwareddy Vadagandla, MD
Student in an Organized Health Care Education/Training Program in East Norriton, Pennsylvania
NPI 1154053395

Koteshwareddy Vadagandla is a Student in an Organized Health Care Education/Training Program based in East Norriton, PA. Koteshwareddy Vadagandla practices in East Norriton, PA and has the professional credentials of MD. The NPI Number for Koteshwareddy Vadagandla is 1154053395 and holds a License No. MT225420 (Pennsylvania).

The current practice location address for Koteshwareddy Vadagandla is 2701 Dekalb Pike, Graduate Medical Education Office, East Norriton, PA and can be reached out via phone at 610-278-2003.

Location: 2701 Dekalb Pike, Graduate Medical Education Office, East Norriton, PA, 19401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154053395
Provider Name
Koteshwareddy Vadagandla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2701 Dekalb Pike, Graduate Medical Education Office, East Norriton, PA, 19401
Phone Number
610-278-2003
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2701 Dekalb Pike, Graduate Medical Education Office
City
East Norriton
State
Pennsylvania
Zip
19401
Phone Number
610-278-2003
Fax Number
person
Provider Business Mailing Address Details
Address
2701 Dekalb Pike, Graduate Medical Education Office
City
East Norriton
State
Pennsylvania
Zip
19401
Phone Number
610-278-2003
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.
MT225420 (Pennsylvania)
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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