Individual
ASHOK RAJARAM PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 PLEASANT, LL3, DES MOINES, IA 50309-1414
(515) 241-8866
(515) 241-8855
Mailing address
1212 PLEASANT, LL3, DES MOINES, IA 50309-1414
(515) 241-8866
(515) 241-8855
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22510
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3092288
—
IA
Enumeration date
09/27/2006
Last updated
07/08/2007
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