Organization
RAJENDRA PRADHAN, M. D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA PRASAD PRADHAN MD (PRESIDENT)
(212) 982-0600
Entity
Organization
Contact information
Practice address
247 3RD AVE, SUITE 503, NEW YORK, NY 10010-7457
(212) 982-0600
Mailing address
372 CENTRAL PARK WEST, 12G, NEW YORK, NY 10025-8240
(212) 982-0600
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
114439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00209494
—
NY
Enumeration date
10/30/2007
Last updated
12/09/2010
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