Dhital, Pradeep Prasad

Dhital, Pradeep Prasad is an individual health care provider with primary practice located at 900 Franklin Avenue , Valley Stream NY 11580-4164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Dhital, Pradeep Prasad can be contacted via phone (516) 256-6164.

Contact Information

Primary practice address
900 Franklin Avenue Valley Stream NY 11580-4164
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 4301046537 Michigan

Profile Details

NPI number 1861431777
LBN Legal business name Dhital, Pradeep Prasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 26th, 2012 - about 12 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 1861431777 NPPES
Michigan MEDICAID 4586833

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