Pradhan, Pemala
Pradhan, Pemala is an sole proprietor health care provider with primary practice located at 4900 Broad Rd , Syracuse NY 13215-2265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Pradhan, Pemala can be contacted via phone (315) 492-5772.Contact Information
Primary practice address
4900 Broad Rd
Syracuse NY 13215-2265
Phone: (315) 492-5772
Fax: (315) 433-1325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 136282 | New York |
Profile Details
| NPI number | 1659332724 |
|---|---|
| LBN Legal business name | Pradhan, Pemala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Dec 29th, 2009 - about 15 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 | 1659332724 | NPPES |
| New York | MEDICAID | 00635543 |
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