Individual
DR. MEDHA A PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7205 COPPERFIELD DR, MONTGOMERY, AL 36117-7101
(334) 396-6055
(334) 273-0952
Mailing address
7205 COPPERFIELD DR, MONTGOMERY, AL 36117-7101
(334) 396-6055
(334) 273-0952
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
21981
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529903260
—
AL
Enumeration date
04/04/2006
Last updated
03/29/2012
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