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Dr. Pradyotha Kanchustambham
Student in an Organized Health Care Education/Training Program in El Paso, Texas
NPI 1689314197

Pradyotha Kanchustambham is a Student in an Organized Health Care Education/Training Program based in El Paso, TX. Pradyotha Kanchustambham practices in El Paso, TX. The NPI Number for Pradyotha Kanchustambham is 1689314197 and holds a License No. (Texas).

The current practice location address for Pradyotha Kanchustambham is 10175 Gateway Blvd W Ste 300, El Paso, TX and can be reached out via phone at 915-263-6933 and via fax at 915-599-4105.

Location: 10175 Gateway Blvd W Ste 300, El Paso, TX, 79925-7618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689314197
Provider Name
Pradyotha Kanchustambham
Credential
Provider Entity Type
Individual
Gender
Female
Address
10175 Gateway Blvd W Ste 300, El Paso, TX, 79925-7618
Phone Number
915-263-6933
Fax Number
915-599-4105
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10175 Gateway Blvd W Ste 300
City
El Paso
State
Texas
Zip
79925-7618
Phone Number
915-263-6933
Fax Number
915-599-4105
person
Provider Business Mailing Address Details
Address
10175 Gateway Blvd W Ste 300
City
El Paso
State
Texas
Zip
79925-7618
Phone Number
915-263-6933
Fax Number
915-599-4105
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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