Individual
DR. PRAJWOL PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 MOBILE INFIRMARY CIR STE G805, MOBILE, AL 36607-3513
(251) 435-2273
(251) 435-4884
Mailing address
1700 SPRING HILL AVE STE 100, MOBILE, AL 36604-1416
(251) 435-1200
(251) 435-6357
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
44389
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020622400
—
FL
Enumeration date
07/08/2011
Last updated
07/12/2022
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