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Simeon Nittala, DO
Student in an Organized Health Care Education/Training Program in Lewisburg, West Virginia
NPI 1912575887

Simeon Nittala is a Student in an Organized Health Care Education/Training Program based in Roselle, WV. Simeon Nittala practices in Lewisburg, WV and has the professional credentials of DO. The NPI Number for Simeon Nittala is 1912575887 and holds a License No. (West Virginia).

The current practice location address for Simeon Nittala is 1464 Jefferson St N, Lewisburg, WV and can be reached out via phone at 304-645-3220. You can also correspond with Simeon Nittala through the mailing address at 150 ALBION AVE, ROSELLE, IL - 60172-1075 (mailing address contact number: 630-456-6254).

Location: 1464 Jefferson St N, Lewisburg, WV, 60172-1075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912575887
Provider Name
Simeon Nittala
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1464 Jefferson St N, Lewisburg, WV, 60172-1075
Phone Number
304-645-3220
Fax Number
Provider Enumeration Date
06/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1464 Jefferson St N
City
Lewisburg
State
West Virginia
Zip
24901-1380
Phone Number
304-645-3220
Fax Number
person
Provider Business Mailing Address Details
Address
150 Albion Ave
City
Roselle
State
Illinois
Zip
60172-1075
Phone Number
630-456-6254
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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