Individual
DR. JAY PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 BARCLAY CIR, SUITE 230, ROCHESTER HILLS, MI 48307-5820
(248) 246-1127
(248) 246-0704
Mailing address
75 BARCLAY CIR, SUITE 230, ROCHESTER HILLS, MI 48307-5820
(248) 246-1127
(248) 246-0704
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
JP071846
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P01030
MEDICARE GROUP NUMBER
MI
01
—
1108297492
BCBS NUMBERS
MI
05
—
4449674
—
MI
Enumeration date
01/26/2006
Last updated
09/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us