Individual
PRAJAN SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11201 BENTON ST # 111P, LOMA LINDA, CA 92357-1557
(909) 825-7084
Mailing address
11201 BENTON ST # 111P, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094003
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A130101
CA
207RP1001X
Pulmonary Disease Physician
A130101
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A130101
CA
Other
Enumeration date
08/12/2009
Last updated
02/25/2025
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