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Individual
PRADEEP PRAMANIK
Active
Individual
PRADEEP PRAMANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10057234
TX
207Q00000X
Family Medicine Physician
Primary
S3736
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2015
Last updated
07/14/2020
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