Sudeepti Vedula
Student in an Organized Health Care Education/Training Program in Newark, NJ. Individual provider (NPI-1).
NPI number1336720135
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1336720135
- Entity type
- Individual (NPI-1)
- Name
- Sudeepti Vedula
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2021
- Certification date
- Apr 25, 2023
- Last updated
- Apr 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
90 Bergen StNewark, NJ 07103-2425
Phone 732-715-3696
Mailing address
90 Bergen StNewark, NJ 07103-2425
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