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Ayeesha Kattubadi

Student in an Organized Health Care Education/Training Program in Baltimore, MD. Individual provider (NPI-1).

NPI number1013682004
StatusActive
Last updated in NPPESJul 5, 2026

Details

NPI
1013682004
Entity type
Individual (NPI-1)
Name
Ayeesha Kattubadi
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2021
Certification date
Jul 5, 2026
Last updated
Jul 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1830 E Monument St Ste 416
Baltimore, MD 21287-0020

Phone 410-550-1800

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-626-0434

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