person
Gouthami Ratna Chennu
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1265936827

Gouthami Ratna Chennu is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Gouthami Ratna Chennu practices in Newark, NJ. The NPI Number for Gouthami Ratna Chennu is 1265936827 and holds a License No. (New Jersey).

The current practice location address for Gouthami Ratna Chennu is 201 Lyons Avenue, Newark, NJ and can be reached out via phone at 973-926-7425 and via fax at 973-926-6130.

Location: 201 Lyons Avenue, Newark, NJ, 07112
person
Provider Profile Details
NPI Number
1265936827
Provider Name
Gouthami Ratna Chennu
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Avenue, Newark, NJ, 07112
Phone Number
973-926-7425
Fax Number
973-926-6130
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Avenue
City
State
Zip
07112
Phone Number
973-926-7425
Fax Number
973-926-6130
person
Provider Business Mailing Address Details
Address
201 Lyons Avenue
City
State
Zip
07112
Phone Number
973-926-7425
Fax Number
973-926-6130
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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