Pavan Chanamolu

NPI #1194321901 in Mount Pleasant, Michigan

Provider Information

NPI Number: 1194321901
Entity Type: Individual
Name: Pavan Chanamolu
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 1280 E CAMPUS DR
City: Mount Pleasant
State: Michigan
ZIP Code: 48859-4484
Phone: (989) 774-2478

Specialties & Taxonomy Codes

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

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