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Shobana Krishnamurthy

Student in an Organized Health Care Education/Training Program in West Reading, PA. Individual provider (NPI-1).

NPI number1013766443
StatusActive
Last updated in NPPESMay 17, 2024

Details

NPI
1013766443
Entity type
Individual (NPI-1)
Name
Shobana Krishnamurthy
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2024
Certification date
May 17, 2024
Last updated
May 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramMT231703PAYes

Practice location

420 S 5th Ave
West Reading, PA 19611-2143

Phone 484-628-8000

Mailing address

Po Box 13579
Reading, PA 19612-3579

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