Mammen, Pradeep Pa

Mammen, Pradeep Pa is an individual health care provider with primary practice located at 4000 Cambridge St Ste G600 , Kansas City KS 66160-8501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Mammen, Pradeep Pa can be contacted via phone (913) 588-9600.

Contact Information

Primary practice address
4000 Cambridge St Ste G600 Kansas City KS 66160-8501
Phone: (913) 588-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K6884 Texas
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 04-47191 Kansas

Profile Details

NPI number 1386609196
LBN Legal business name Mammen, Pradeep Pa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 23rd, 2023 - about last year

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 1386609196 NPPES
Texas MEDICAID 165941901

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