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Individual

ANKUR PRADHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(732) 783-4746
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
S3444
TX
208M00000X
Hospitalist Physician
Primary
25MA12196000
NJ
208M00000X
Hospitalist Physician
S3444
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10064801
TX

Other

Enumeration date
05/01/2018
Last updated
06/26/2024
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