Organization
BRANDYWINE PAIN MANAGEMENT P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAMOD K YADHATI M.D. (PRESIDENT)
(302) 998-2585
Entity
Organization
Contact information
Practice address
4512 KIRKWOOD HWY, SUITE 200, WILMINGTON, DE 19808-5123
(302) 998-2585
(302) 998-3394
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
(302) 224-5678
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001186102
—
DE
Enumeration date
01/04/2007
Last updated
08/22/2020
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