Organization
KUMUDA R PRADHAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMUDA PRADHAN MD (PRESIDENT)
(915) 779-1716
Entity
Organization
Contact information
Practice address
1700 N OREGON ST, 620, EL PASO, TX 79902-3584
(915) 779-1716
Mailing address
5959 GATEWAY BLVD W, 120, EL PASO, TX 79925-3331
(915) 774-5557
(915) 771-6496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N5950
TX
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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