Individual
DR. PRADEEP S. MAHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1308 MORRIS AVE, SUITE 202, UNION, NJ 07083-3331
(908) 851-6767
(908) 851-0382
Mailing address
1308 MORRIS AVE, SUITE 202, UNION, NJ 07083-3331
(908) 851-6767
(908) 851-0382
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA32098
NJ
207RX0202X
Medical Oncology Physician
MA32098
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671606
—
NJ
Enumeration date
02/06/2007
Last updated
06/21/2010
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