Individual
DR. KAMAL PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
358 E CHICAGO ST, SUITE 202, COLDWATER, MI 49036-2072
(517) 279-5252
Mailing address
274 E CHICAGO ST, COLDWATER, MI 49036-2041
(517) 279-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301075578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1230291
PHP/IBA
MI
01
—
3501200712
BLUE CROSS BLUE SHIELD
MI
05
—
4220808
—
MI
Enumeration date
07/17/2006
Last updated
12/17/2021
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