Individual
JAYANT PRATAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
35.122857
OH
207LP3000X
Pediatric Anesthesiology Physician
49657
KY
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD475576
PA
Other
Enumeration date
02/10/2014
Last updated
01/24/2024
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