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Vinayak Goud Memula
Student in an Organized Health Care Education/Training Program in Los Alamos, New Mexico
NPI 1194306084

Vinayak Goud Memula is a Student in an Organized Health Care Education/Training Program based in Houston, NM. Vinayak Goud Memula practices in Los Alamos, NM. The NPI Number for Vinayak Goud Memula is 1194306084 and holds a License No. (New Mexico).

The current practice location address for Vinayak Goud Memula is 21 Canyon Vw, Los Alamos, NM and can be reached out via phone at 803-292-5193.

Location: 21 Canyon Vw, Los Alamos, NM, 77030-1501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194306084
Provider Name
Vinayak Goud Memula
Credential
Provider Entity Type
Individual
Gender
Male
Address
21 Canyon Vw, Los Alamos, NM, 77030-1501
Phone Number
803-292-5193
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 Canyon Vw
City
Los Alamos
State
New Mexico
Zip
87544-2872
Phone Number
803-292-5193
Fax Number
person
Provider Business Mailing Address Details
Address
21 Canyon Vw
City
Los Alamos
State
New Mexico
Zip
87544-2872
Phone Number
803-292-5193
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.
(Texas)
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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