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Vishwanath Thondamala
Student in an Organized Health Care Education/Training Program in Monroe, Louisiana
NPI 1285322487

Vishwanath Thondamala is a Student in an Organized Health Care Education/Training Program based in Monroe, LA. Vishwanath Thondamala practices in Monroe, LA. The NPI Number for Vishwanath Thondamala is 1285322487 and holds a License No. (Louisiana).

The current practice location address for Vishwanath Thondamala is 4864 Jackson St, Monroe, LA and can be reached out via phone at 318-330-7600. You can also correspond with Vishwanath Thondamala through the mailing address at 4864 JACKSON ST, MONROE, LA - 71202-6400 (mailing address contact number: ).

Location: 4864 Jackson St, Monroe, LA, 71202-6400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285322487
Provider Name
Vishwanath Thondamala
Credential
Provider Entity Type
Individual
Gender
Male
Address
4864 Jackson St, Monroe, LA, 71202-6400
Phone Number
318-330-7600
Fax Number
Provider Enumeration Date
04/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4864 Jackson St
City
Monroe
State
Louisiana
Zip
71202-6400
Phone Number
318-330-7600
Fax Number
person
Provider Business Mailing Address Details
Address
4864 Jackson St
City
Monroe
State
Louisiana
Zip
71202-6400
Phone Number
318-330-7600
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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