Individual
ABHIGNA PENTHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1710 BURRSTONE RD, NEW HARTFORD, NY 13413-1002
(408) 666-6754
Mailing address
310 MAIN ST # 272, NEW YORK MILLS, NY 13417-9998
(408) 666-6754
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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