Dave, Pradyuman B

Dave, Pradyuman B is an individual health care provider with primary practice located at 8201 37Th Ave , Jackson Heights NY 11372-7011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dave, Pradyuman B can be contacted via phone (718) 424-0303.

Contact Information

Primary practice address
8201 37Th Ave Jackson Heights NY 11372-7011
Phone: (718) 424-0303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 142035 New York

Profile Details

NPI number 1396712634
LBN Legal business name Dave, Pradyuman B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1396712634 NPPES
New York MEDICAID 00977440

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