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Praveen Venkata Polamraju
Student in an Organized Health Care Education/Training Program in Weatherford, Texas
NPI 1417418260

Praveen Venkata Polamraju is a Student in an Organized Health Care Education/Training Program based in Weatherford, TX. Praveen Venkata Polamraju practices in Weatherford, TX. The NPI Number for Praveen Venkata Polamraju is 1417418260 and holds a License No. (Texas).

The current practice location address for Praveen Venkata Polamraju is 713 E Anderson St, Weatherford, TX and can be reached out via phone at 940-395-6666.

Location: 713 E Anderson St, Weatherford, TX, 76086-5705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417418260
Provider Name
Praveen Venkata Polamraju
Credential
Provider Entity Type
Individual
Gender
Male
Address
713 E Anderson St, Weatherford, TX, 76086-5705
Phone Number
940-395-6666
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
713 E Anderson St
City
Weatherford
State
Texas
Zip
76086-5705
Phone Number
940-395-6666
Fax Number
person
Provider Business Mailing Address Details
Address
713 E Anderson St
City
Weatherford
State
Texas
Zip
76086-5705
Phone Number
940-395-6666
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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