Individual
PRADIP K DHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5714 SPOHN DR, CORPUS CHRISTI, TX 78414-4116
(361) 561-0005
(361) 561-0006
Mailing address
5714 SPOHN DR, CORPUS CHRISTI, TX 78414-4116
(361) 561-0005
(361) 561-0006
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
L2222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120265
SUPERIOR HEALTHPLAN
TX
05
—
145533906
—
TX
01
—
145533907
MEDICAID CSHCN
TX
01
—
8H9854
BCBSTX
TX
Enumeration date
05/28/2006
Last updated
01/13/2023
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