Individual
DR. TANA SHAH PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 PATROON CREEK BLVD, ALBANY, NY 12206-5013
(518) 801-0725
(518) 557-1295
Mailing address
449 ROUTE 146 STE 101, HALFMOON, NY 12065-3239
(518) 373-3800
(518) 373-3808
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
253286
NY
207VX0201X
Gynecologic Oncology Physician
25MB08307600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03460991
—
NY
Enumeration date
05/31/2007
Last updated
10/29/2025
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