Pradhan, Jay

Pradhan, Jay is an sole proprietor health care provider with primary practice located at 75 Barclay Cir Suite 230, Rochester Hills MI 48307-5820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pradhan, Jay can be contacted via phone (248) 246-1127.

Contact Information

Primary practice address
75 Barclay Cir Suite 230 Rochester Hills MI 48307-5820
Fax: (248) 246-0704
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X JP071846 Michigan

Profile Details

NPI number 1790755049
LBN Legal business name Pradhan, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Sep 15th, 2021 - about 4 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 1790755049 NPPES
Michigan Other 0P01030 MEDICARE GROUP NUMBER
Michigan Other 1108297492 MEDICARE GROUP NUMBER
Michigan MEDICAID 4449674 MEDICARE GROUP NUMBER

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