Sruthi Sivabhaskar

NPI #1164289062 in Magnolia, Texas

Provider Information

NPI Number: 1164289062
Entity Type: Individual
Name: Sruthi Sivabhaskar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 6, 2024
Last Updated: Mar 6, 2024

Practice Location

Address: 29 TRAILING LANTANA PL
City: Magnolia
State: Texas
ZIP Code: 77354-4160
Phone: (713) 992-2283

Specialties & Taxonomy Codes

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

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