Individual
AKHILESH SRINIVAS PATHIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Mailing address
2117 TARBOLTON CIR, FOLSOM, CA 95630-6130
(916) 221-1430
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
08/11/2018
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