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Mani Jacob Kallupurackal, DO
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1154171650

Mani Jacob Kallupurackal is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Mani Jacob Kallupurackal practices in Charlotte, NC and has the professional credentials of DO. The NPI Number for Mani Jacob Kallupurackal is 1154171650 and holds a License No. (North Carolina).

The current practice location address for Mani Jacob Kallupurackal is 1350 S Kings Dr Fl 3, Charlotte, NC and can be reached out via phone at 704-446-1242.

Location: 1350 S Kings Dr Fl 3, Charlotte, NC, 28207-2134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154171650
Provider Name
Mani Jacob Kallupurackal
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1350 S Kings Dr Fl 3, Charlotte, NC, 28207-2134
Phone Number
704-446-1242
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1350 S Kings Dr Fl 3
City
Charlotte
State
North Carolina
Zip
28207-2134
Phone Number
704-446-1242
Fax Number
person
Provider Business Mailing Address Details
Address
1350 S Kings Dr Fl 3
City
Charlotte
State
North Carolina
Zip
28207-2134
Phone Number
704-446-1242
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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