Individual
MR. ASHUTOSH ASHOK PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2207, JACKSONVILLE, FL 32258-7419
(904) 388-6518
(904) 384-1005
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME95743
FL
Other
Enumeration date
06/15/2006
Last updated
08/07/2025
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