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Pavan Chanamolu
Student in an Organized Health Care Education/Training Program in Mount Pleasant, Michigan
NPI 1194321901

Pavan Chanamolu is a Student in an Organized Health Care Education/Training Program based in Mount Pleasant, MI. Pavan Chanamolu practices in Mount Pleasant, MI. The NPI Number for Pavan Chanamolu is 1194321901 and holds a License No. (Michigan).

The current practice location address for Pavan Chanamolu is 1280 E Campus Dr, Mount Pleasant, MI and can be reached out via phone at 989-774-2478.

Location: 1280 E Campus Dr, Mount Pleasant, MI, 48858-4484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194321901
Provider Name
Pavan Chanamolu
Credential
Provider Entity Type
Individual
Gender
Male
Address
1280 E Campus Dr, Mount Pleasant, MI, 48858-4484
Phone Number
989-774-2478
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1280 E Campus Dr
City
Mount Pleasant
State
Michigan
Zip
48859-4484
Phone Number
989-774-2478
Fax Number
person
Provider Business Mailing Address Details
Address
1280 E Campus Dr
City
Mount Pleasant
State
Michigan
Zip
48859-4484
Phone Number
989-774-2478
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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