Phatak, Pradyumna
Phatak, Pradyumna is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Phatak, Pradyumna can be contacted via phone (585) 922-4247.Contact Information
Primary practice address
1425 Portland Ave
Rochester NY 14621-3001
Phone: (585) 922-4247
Fax: (585) 922-4622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 160550 | New York |
Profile Details
| NPI number | 1467407213 |
|---|---|
| LBN Legal business name | Phatak, Pradyumna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 20th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467407213 | NPPES |
| New York | MEDICAID | 00899243 |
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