Individual
DR. PRADEEP PENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 E 34TH ST FL 9, MURRAY HILL MEDICAL GROUP, NEW YORK, NY 10016-4974
(212) 726-7400
(212) 981-7220
Mailing address
317 E 34TH ST FL 9, MURRAY HILL MEDICAL GROUP, NEW YORK, NY 10016-4974
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
256722
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
256722
NY
Other
Enumeration date
07/02/2007
Last updated
02/29/2012
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