Daftary, Pramila K.
Daftary, Pramila K. is an sole proprietor health care provider with primary practice located at 221 Jewell Dr , Waco TX 76712-6630. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Daftary, Pramila K. can be contacted via phone (254) 753-3646.Contact Information
Primary practice address
221 Jewell Dr
Waco TX 76712-6630
Phone: (254) 753-3646
Fax: (254) 753-1411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G1639 | Texas |
Profile Details
| NPI number | 1255399945 |
|---|---|
| LBN Legal business name | Daftary, Pramila K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2006 |
| Last updated | Mar 30th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255399945 | NPPES |
| Texas | Other | G1639 | LICENSE |
| Texas | MEDICAID | 080984001 | LICENSE |
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