SUPRITHA SHETTY KOMARISETTY NPI 1184553257

NPI Information

  • NPI: 1184553257
  • Provider Name: SUPRITHA SHETTY KOMARISETTY
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 309 NE GEORGIA AVE # 124
    SWEETWATER, TX
    ZIP 79556
  • Phone: (325) 236-6902

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NPI Details

Supritha Shetty Komarisetty is a student in an organized health care education training program in Sweetwater, 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. Supritha Shetty Komarisetty NPI is 1184553257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

309 NE GEORGIA AVE # 124
SWEETWATER, TX
ZIP 79556-246
Phone: (325) 236-6902

The enumeration date for this NPI number is 5/15/2026 and was last updated on 5/15/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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