Damle, Pradeep Balkrishna

Damle, Pradeep Balkrishna is an individual health care provider with primary practice located at 1331 W Avenue J Ste 101, Lancaster CA 93534-2942. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Damle, Pradeep Balkrishna can be contacted via phone (661) 945-8717.

Contact Information

Primary practice address
1331 W Avenue J Ste 101 Lancaster CA 93534-2942
Fax: (661) 945-4867
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A36983 California

Profile Details

NPI number 1770563116
LBN Legal business name Damle, Pradeep Balkrishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Mar 7th, 2011 - about 13 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 1770563116 NPPES
California MEDICAID 00A369830

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