Individual
MONICA MILIND PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1108 S HENDERSON ST, FORT WORTH, TX 76104-4430
(817) 335-3255
(817) 338-9563
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P2155
TX
2080A0000X
Pediatric Adolescent Medicine Physician
P2155
TX
Other
Enumeration date
03/31/2009
Last updated
05/13/2021
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