Tejaswi Suma Dittakavi

NPI #1124580162 in Oak Lawn, Illinois

Provider Information

NPI Number: 1124580162
Entity Type: Individual
Name: Tejaswi Suma Dittakavi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 1, 2019
Last Updated: Apr 1, 2019

Practice Location

Address: 4440 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2600
Phone: (708) 684-8000

Specialties & Taxonomy Codes

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

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