Pathak, Prem Nath

Pathak, Prem Nath is an individual health care provider with primary practice located at 1800 E Interstate Ave Ste B , Bismarck ND 58503-1566. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pathak, Prem Nath can be contacted via phone (701) 323-6543.

Contact Information

Primary practice address
1800 E Interstate Ave Ste B Bismarck ND 58503-1566
Phone: (701) 323-6543
Fax: (701) 323-5492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116020790 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12788 North Dakota

Profile Details

NPI number 1417187907
LBN Legal business name Pathak, Prem Nath
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Apr 4th, 2022 - about 2 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 1417187907 NPPES
North Dakota MEDICAID 1451039

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