Individual
KUSUM M PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 858-5300
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01078743A
IN
Other
Enumeration date
06/23/2014
Last updated
09/13/2018
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