Individual
PRAYUS T TAILOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C10007691
DE
207RN0300X
Nephrology Physician
D0063274
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079430
—
NJ
05
—
1000037505
—
DE
05
—
408743700
—
MD
Enumeration date
01/17/2006
Last updated
06/17/2021
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