Tailor, Prayus T

Tailor, Prayus T is an individual health care provider with primary practice located at 4923 Ogletown Stanton Rd Suite 200, Newark DE 19713-2081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tailor, Prayus T can be contacted via phone (302) 225-0451.

Contact Information

Primary practice address
4923 Ogletown Stanton Rd Suite 200 Newark DE 19713-2081
Phone: (302) 225-0451
Fax: (302) 225-0472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D0063274 Maryland
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C10007691 Delaware

Profile Details

NPI number 1679552764
LBN Legal business name Tailor, Prayus T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 17th, 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 1679552764 NPPES
Maryland MEDICAID 408743700
Maryland MEDICAID 1000037505
Maryland MEDICAID 0079430

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