Individual
PRACHI NILESH PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I3-0001350
DE
152W00000X
Optometrist
I4-0000054
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12186947
CAQH
—
01
—
1245251313
HALPERN EYE ASSOCIATES GROUP NPI
DE
01
—
1346430360
HALPERN OPTHAMOLOGY ASSO GROUP NPI
DE
01
—
1952605743
INDIVIUAL NPI
—
01
—
803261H16
MEDICARE PTAN HEA
—
01
—
803261H47
MEDICARE PTAN HALPERN MEDICAL SERVICES
—
01
—
G00016
HALPERN EYE ASSO GROUP MEDICARE
DE
01
—
G01047
HALPERN OPTHAMOLOGY ASSO GROUP MEDICARE ID
DE
01
—
I3-0001350
DE-PERMANENT LICENSE EFF 02072011
DE
Enumeration date
01/07/2011
Last updated
06/23/2011
Update your record
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