Organization
PRADEEP S. GHIA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADEEP S GHIA M.D. (OWNER/PRESIDENT)
(610) 258-6211
Entity
Organization
Contact information
Practice address
123 S 22ND ST, EASTON, PA 18042-3808
(610) 258-6211
(610) 258-9995
Mailing address
123 S 22ND ST, EASTON, PA 18042-3808
(610) 258-6211
(610) 258-9995
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD-037787-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03201100
CAPITAL BLUE CROSS
PA
01
—
116979
HIGHMARK BLUE SHIELD
PA
05
—
5272700
—
NJ
05
—
9497710003
—
PA
01
—
DQ3372
PALMETTA GBA MEDICARE RAILROAD
NJ
01
—
DQ9730
PALMETTA GBA MEDICARE RAILROAD
PA
Enumeration date
09/26/2006
Last updated
01/29/2013
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