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Individual

MRS. PRAMILA BYAHATTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1907 PARK AVE, SUITE #103, SOUTH PLAINFIELD, NJ 07080
(908) 756-2080
(908) 668-0455
Mailing address
1907 PARK AVE, SUITE #103, SOUTH PLAINFIELD, NJ 07080
(908) 756-2080
(908) 668-0455

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA030896
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1389602
NJ
Enumeration date
07/25/2006
Last updated
07/08/2007
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