Individual
PRATIVA PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10280 W 55TH AVE, ARVADA, CO 80002-4925
(303) 914-6011
Mailing address
2049 E 151ST AVE, THORNTON, CO 80602-7475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CO
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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