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Individual
MR. PRADEEP DIWAKER PILAKEL
Active
Individual
MR. PRADEEP DIWAKER PILAKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,MS,MCSP,DIPTP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P4468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115X
BCBS PROV. #
NC
01
—
650022338
RAILROAD MEDICARE PROV. #
NC
05
—
7210810
—
NC
Enumeration date
05/28/2006
Last updated
04/25/2012
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