Individual
DR. PRAMOD K PABBATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 217-1400
(732) 271-3544
Mailing address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 217-1400
(732) 271-3544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB08806800
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MB08806800
NJ
207LP3000X
Pediatric Anesthesiology Physician
25MB08806800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0376272
—
NJ
Enumeration date
08/23/2006
Last updated
06/04/2014
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