Individual
ANAY DILIP PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1251 E MAIN ST, SUITE 3, ANNVILLE, PA 17003-1643
(717) 731-0101
(717) 731-8359
Mailing address
1251 E MAIN ST STE 3, ANNVILLE, PA 17003-1643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT190199
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD444211
PA
207RI0011X
Interventional Cardiology Physician
MD444211
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102962210
—
PA
Enumeration date
05/03/2007
Last updated
04/14/2021
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