Kalyan Ram Saiganesh
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fayettevile, NC
NPI 1093558652 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1093558652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1638 Owen Drive
Fayettevile, NC 28304 - Phone
- (910) 615-0000
- NPI assigned
- Jun 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1638 Owen Drive
Fayettevile, NC 28304
Mailing address
1638 Owen Drive
Fayettevile, NC 28304
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.