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Rahul Samrat Chandrupatla

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

NPI number1982307336
StatusActive
Last updated in NPPESMar 24, 2023

Details

NPI
1982307336
Entity type
Individual (NPI-1)
Name
Rahul Samrat Chandrupatla
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2023
Certification date
Mar 24, 2023
Last updated
Mar 24, 2023

Taxonomy and licenses

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

Practice location

300 Community Dr Ste 4dsu
Manhasset, NY 11030-3816

Phone 516-562-0100

Mailing address

300 Community Dr Ste 4dsu
Manhasset, NY 11030-3816

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