Prasun, Pankaj

Prasun, Pankaj is an sole proprietor health care provider with primary practice located at 1500 Highland Ave , Madison WI 53705-2274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Prasun, Pankaj can be contacted via phone (608) 262-2507.

Contact Information

Primary practice address
1500 Highland Ave Madison WI 53705-2274
Phone: (608) 262-2507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301091882 Michigan
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 3675 Wisconsin

Profile Details

NPI number 1699922369
LBN Legal business name Prasun, Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2008
Last updated Jan 11th, 2024 - about last year

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 1699922369 NPPES
New York Other 5362363 UNITED HEALTHCARE

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