Wali, Prateek Dhar

Wali, Prateek Dhar is an individual health care provider with primary practice located at 725 Irving Ave Crouse Pob Ste 805, Syracuse NY 13210-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Wali, Prateek Dhar can be contacted via phone (315) 464-8444.

Contact Information

Primary practice address
725 Irving Ave Crouse Pob Ste 805 Syracuse NY 13210-1603
Phone: (315) 464-8444
Fax: (315) 464-8445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 257394 New York

Profile Details

NPI number 1972775286
LBN Legal business name Wali, Prateek Dhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Sep 14th, 2012 - about 14 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 1972775286 NPPES
New York MEDICAID 03241623

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