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Mr. Johan Anantharaj
Student in an Organized Health Care Education/Training Program in Temple, Texas
NPI 1831894831

Johan Anantharaj is a Student in an Organized Health Care Education/Training Program based in Knoxville, TX. Johan Anantharaj practices in Temple, TX. The NPI Number for Johan Anantharaj is 1831894831 and holds a License No. (Texas).

The current practice location address for Johan Anantharaj is 2401 S 31St St # Msag407Q, Temple, TX and can be reached out via phone at 254-724-2366.

Location: 2401 S 31St St # Msag407Q, Temple, TX, 37938-4597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831894831
Provider Name
Johan Anantharaj
Credential
Provider Entity Type
Individual
Gender
Male
Address
2401 S 31St St # Msag407Q, Temple, TX, 37938-4597
Phone Number
254-724-2366
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St # Msag407Q
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2366
Fax Number
person
Provider Business Mailing Address Details
Address
2401 S 31St St # Msag407Q
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2366
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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