NPI 1043179302

Srisamhita Vagdevi Ghorakavi

Practitioner Physician Assistant Terre Haute, IN

Practice location

Address: 6737 Clubhouse Ln, Terre Haute, IN 47809-1903
Phone: (301) 655-1614
Mailing address: 567 N 5th St, Terre Haute, IN 47809-1903

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1043179302
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2026
Record last updated: 21 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.