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Individual

PRADEEPA YOGANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4717 SAINT ANTOINE ST, DETROIT, MI 48201-1423
(313) 577-8932
Mailing address
606 WOODVALLEY DR, PITTSBURGH, PA 15238-2135
(716) 507-6710

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
002577
NY
207W00000X
Ophthalmology Physician
Primary
4301116895
MI
207W00000X
Ophthalmology Physician
MD456953
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD456953
PA
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
MD456953
PA

Other

Enumeration date
06/29/2010
Last updated
07/19/2019
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