Pradhan, Tana Shah

Pradhan, Tana Shah is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 2575S, Hawthorne NY 10532-2140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Pradhan, Tana Shah can be contacted via phone (914) 493-2181.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 2575S Hawthorne NY 10532-2140
Phone: (914) 493-2181
Fax: (914) 493-2322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 253286 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 25MB08307600 New Jersey

Profile Details

NPI number 1528269040
LBN Legal business name Pradhan, Tana Shah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jun 21st, 2016 - about 8 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 1528269040 NPPES
New York MEDICAID 03460991

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