Individual
DR. PRADEEP K PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 PARK AVE, STE F, DANVILLE, VA 24541-4630
(434) 857-3600
(434) 200-1654
Mailing address
414 PARK AVE, STE F, DANVILLE, VA 24541-4630
(434) 857-3600
(434) 200-1654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053120
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280236
ANTHEM
VA
05
—
5811104
—
VA
Enumeration date
05/31/2005
Last updated
04/28/2017
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