Praveen Venkata Polamraju is a student in an organized health care education training program in Weatherford, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Praveen Venkata Polamraju NPI is 1417418260. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
713 E ANDERSON ST
WEATHERFORD, TX
ZIP 76086-705
Phone: (940) 395-6666
The NPI 1417418260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.