Individual
DR. BEN BHUPENDRA PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.E.
Contact information
Practice address
2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 797-2002
(626) 798-0567
Mailing address
2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 797-2002
(626) 798-0567
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A70279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A70279
—
CA
Enumeration date
05/20/2006
Last updated
04/17/2015
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