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Saisantosh Ponna

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

NPI number1669280467
StatusActive
Last updated in NPPESDec 26, 2024

Details

NPI
1669280467
Entity type
Individual (NPI-1)
Name
Saisantosh Ponna
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 26, 2024
Certification date
Dec 26, 2024
Last updated
Dec 26, 2024

Taxonomy and licenses

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

Practice location

3699 Trey Ct
Newburgh, IN 47630-8679

Phone 812-965-6229

Mailing address

3699 Trey Ct
Newburgh, IN 47630-8679

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Newburgh, IN

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