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Individual
PRAMILA PENTA
Active
Individual
PRAMILA PENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44378
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000530953001
BLUECROSS BLUESHIELD WNY
NY
01
—
081124000086
FIDELIS
NY
01
—
115366
INDEPENDENT HEALTH
NY
01
—
1386604452
UNIVERA
NY
01
—
1544090
GOLDCHOICE
NY
01
—
235201BF
MVP
NY
01
—
7956417
AETNA
NY
Enumeration date
03/24/2006
Last updated
12/15/2021
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