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Mr. Prashanth Gumpu Shivashankar
Student in an Organized Health Care Education/Training Program in Odessa, Texas
NPI 1356030803

Prashanth Gumpu Shivashankar is a Student in an Organized Health Care Education/Training Program based in Odessa, TX. Prashanth Gumpu Shivashankar practices in Odessa, TX. The NPI Number for Prashanth Gumpu Shivashankar is 1356030803 and holds a License No. (Texas).

The current practice location address for Prashanth Gumpu Shivashankar is 701 W. 5Th Street, Odessa, TX and can be reached out via phone at 432-703-5375.

Location: 701 W. 5Th Street, Odessa, TX, 79763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356030803
Provider Name
Prashanth Gumpu Shivashankar
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 W. 5Th Street, Odessa, TX, 79763
Phone Number
432-703-5375
Fax Number
Provider Enumeration Date
05/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 W. 5Th Street
City
Odessa
State
Texas
Zip
79763
Phone Number
432-703-5375
Fax Number
person
Provider Business Mailing Address Details
Address
701 W. 5Th Street
City
Odessa
State
Texas
Zip
79763
Phone Number
432-703-5375
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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