Bathina, Pradeep

Bathina, Pradeep is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Bathina, Pradeep can be contacted via phone (601) 815-2869.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-2869
Fax: (601) 815-9356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25000 Mississippi

Profile Details

NPI number 1619232345
LBN Legal business name Bathina, Pradeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2012
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619232345 NPPES
Mississippi MEDICAID 07107519

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