National Provider Identifier

Kavya Jatavallabhula, MEDICAL STUDENT

Kavya Jatavallabhula, MEDICAL STUDENT is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 273-3937.

NPI 1407650435Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1407650435
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 01, 2025
Last Updated
April 01, 2025

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 273-3937

Mailing Address

  • 901 Ontario St Apt 304
  • Oak Park, IL 60302-1943

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1407650435
Entity Type
Individual
Last Name
Jatavallabhula
First Name
Kavya
Credential
MEDICAL STUDENT
Mailing Street Address
901 Ontario St Apt 304
Mailing City
Oak Park
Mailing State
IL
Mailing ZIP Code
60302-1943
Mailing Country
US
Mailing Phone
(805) 501-5486
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 273-3937
Enumeration Date
April 01, 2025
Last Updated
April 01, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)