Individual
PRAGNA R BHAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 SOUTH 21ST STREET, EASTON, PA 18042
(610) 250-4075
(610) 789-9937
Mailing address
P.O .BOX 650782, DALLAS, TX 75265-0000
(610) 789-8070
(610) 789-9937
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA07732900
NJ
207L00000X
Anesthesiology Physician
Primary
MD030825E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01012730
—
PA
01
—
11920943
CAQH
—
Enumeration date
06/08/2005
Last updated
04/09/2009
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