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Ms. Bhavana Jyoti Annam, MD
Student in an Organized Health Care Education/Training Program in San Bernardino, California
NPI 1598349953

Bhavana Jyoti Annam is a Student in an Organized Health Care Education/Training Program based in San Bernardino, CA. Bhavana Jyoti Annam practices in San Bernardino, CA and has the professional credentials of MD. The NPI Number for Bhavana Jyoti Annam is 1598349953 and holds a License No. (California).

The current practice location address for Bhavana Jyoti Annam is 2101 N Waterman Avenue, San Bernardino, CA and can be reached out via phone at 909-475-2612 and via fax at 909-475-5059.

Location: 2101 N Waterman Avenue, San Bernardino, CA, 92404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598349953
Provider Name
Bhavana Jyoti Annam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2101 N Waterman Avenue, San Bernardino, CA, 92404
Phone Number
909-475-2612
Fax Number
909-475-5059
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 N Waterman Avenue
City
San Bernardino
State
California
Zip
92404
Phone Number
909-475-2612
Fax Number
909-475-5059
person
Provider Business Mailing Address Details
Address
2101 N Waterman Avenue
City
San Bernardino
State
California
Zip
92404
Phone Number
909-475-2612
Fax Number
909-475-5059
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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