Individual
MR. IRFAN PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4772 NAVY RD STE A, MILLINGTON, TN 38053-1927
(901) 873-0930
(901) 873-0931
Mailing address
4772 NAVY RD STE A, MILLINGTON, TN 38053-1927
(901) 873-0930
(901) 873-0931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
684695-1
NY
363LF0000X
Family Nurse Practitioner
Primary
21813
TN
363LF0000X
Family Nurse Practitioner
F338871-1
NY
Other
Enumeration date
02/16/2016
Last updated
07/24/2023
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