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Suma Gangidi, BS
Student in an Organized Health Care Education/Training Program in Urbana, Illinois
NPI 1922868702

Suma Gangidi is a Student in an Organized Health Care Education/Training Program based in Urbana, IL. Suma Gangidi practices in Urbana, IL and has the professional credentials of BS. The NPI Number for Suma Gangidi is 1922868702 and holds a License No. (Illinois).

The current practice location address for Suma Gangidi is 943 Macomber Dr, Urbana, IL and can be reached out via phone at 904-377-1976.

Location: 943 Macomber Dr, Urbana, IL, 61801-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922868702
Provider Name
Suma Gangidi
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
943 Macomber Dr, Urbana, IL, 61801-1910
Phone Number
904-377-1976
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
943 Macomber Dr
City
Urbana
State
Illinois
Zip
61801-1910
Phone Number
904-377-1976
Fax Number
person
Provider Business Mailing Address Details
Address
943 Macomber Dr
City
Urbana
State
Illinois
Zip
61801-1910
Phone Number
904-377-1976
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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