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Ms. Pujitha Vallivedu Chennakesavulu, MD
Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut
NPI 1912698150

Pujitha Vallivedu Chennakesavulu is a Student in an Organized Health Care Education/Training Program based in Bridgeport, CT. Pujitha Vallivedu Chennakesavulu practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Pujitha Vallivedu Chennakesavulu is 1912698150 and holds a License No. (Connecticut).

The current practice location address for Pujitha Vallivedu Chennakesavulu is 2900 Main Street, Bridgeport, CT and can be reached out via phone at 475-210-5425 and via fax at 475-210-5022.

Location: 2900 Main Street, Bridgeport, CT, 06606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912698150
Provider Name
Pujitha Vallivedu Chennakesavulu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2900 Main Street, Bridgeport, CT, 06606
Phone Number
475-210-5425
Fax Number
475-210-5022
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 Main Street
City
Bridgeport
State
Connecticut
Zip
06606
Phone Number
475-210-5425
Fax Number
475-210-5022
person
Provider Business Mailing Address Details
Address
2900 Main Street
City
Bridgeport
State
Connecticut
Zip
06606
Phone Number
475-210-5425
Fax Number
475-210-5022
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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