Most Relevant Information
Provider Data
| NPI Number: | 1003676578 |
| Provider Name: | SAI AKHILA REDDY BHUMANAPALLI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 390200000X |
Most Important Dates
| Enumeration Date: | 03/20/2024 |
| Last Updated: | 03/20/2024 |
Provider Practice Location
3611 21ST ST STE 1
LONG ISLAND CITY
NY
111064705
Practice Location Phone/Fax
| Phone: | 7184827772 |
| Fax: |
Provider Mailing Location
3611 21ST ST STE 1
LONG ISLAND CITY
NY
111064705
Provider Mailing Phone/Fax
| Phone: | 7184827772 |
| Fax: |