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Individual
PRADEEP SIMLOTE
Active
Individual
PRADEEP SIMLOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0052469
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3846650
AETNA
—
05
—
475310100
—
MD
01
—
655BP
CAREFIRST
MD
Enumeration date
08/22/2006
Last updated
03/01/2011
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