Shivendra Tangutoori, MD

NPI #1114605474 in Harlan, Kentucky

Provider Information

NPI Number: 1114605474
Entity Type: Individual
Name: Shivendra Tangutoori, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Jul 7, 2023
Last Updated: Jul 7, 2023

Practice Location

Address: 81 BALL PARK RD
City: Harlan
State: Kentucky
ZIP Code: 40831-1792
Phone: (606) 573-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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