location
search-icon
person
Sisira Gorthala
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1982165882

Sisira Gorthala is a Student in an Organized Health Care Education/Training Program based in Hopewell Junction, NY. Sisira Gorthala practices in Stony Brook, NY. The NPI Number for Sisira Gorthala is 1982165882 and holds a License No. (New York).

The current practice location address for Sisira Gorthala is 101 Nicolls Rd Dept Of, Stony Brook, NY and can be reached out via phone at 631-444-2058 and via fax at 631-444-2493.

Location: 101 Nicolls Rd Dept Of, Stony Brook, NY, 12533-8228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982165882
Provider Name
Sisira Gorthala
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd Dept Of, Stony Brook, NY, 12533-8228
Phone Number
631-444-2058
Fax Number
631-444-2493
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Dept Of
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2058
Fax Number
631-444-2493
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Dept Of
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2058
Fax Number
631-444-2493
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.