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Individual

DR. RAJENDRA PRADHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PC

Contact information

Practice address
372 CENTRAL PARK WEST, APARTMENT 12G, NEW YORK, NY 10025-8209
(212) 677-0396
Mailing address
372 CENTRAL PARK WEST, APARTMENT 12GH, NEW YORK, NY 10025-8209
(347) 875-0139

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
114439
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0020949
NY
Enumeration date
10/11/2006
Last updated
03/23/2016
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