Individual
PRAVEENA GADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6730 HOLABIRD AVE, BALTIMORE, MD 21222-1700
(410) 288-6226
(410) 288-9048
Mailing address
6730 HOLABIRD AVE, BALTIMORE, MD 21222-1700
(410) 288-6226
(410) 288-9048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004067
MD
Other
Enumeration date
11/09/2009
Last updated
02/22/2013
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