Individual
PRADEEP ATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,M.P.H
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(808) 825-1982
Mailing address
6451 N FEDERAL HWY STE 800, FORT LAUDERDALE, FL 33308-1409
(954) 343-5825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD-23030
HI
207RG0100X
Gastroenterology Physician
Primary
MD177407
OR
Other
Enumeration date
05/01/2008
Last updated
04/23/2025
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