Individual
DR. DEEPAK RAVINDRA PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
164 SUMMIT AVE., PROVIDENCE, RI 02906
(401) 793-2104
(401) 793-4047
Mailing address
60 RIVERSIDE BLVD, APT. 816, NEW YORK, NY 10069-0201
(215) 880-6674
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
NY258094
NY
Other
Enumeration date
04/17/2007
Last updated
06/19/2013
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