Individual
DR. DIWAKAR PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4362
(434) 444-4791
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(434) 444-4362
(434) 444-4791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P30319
MD
Other
Enumeration date
06/23/2014
Last updated
05/18/2022
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