Anil Pradhan, MD | |
116 Interstate Parkway, Bradford, PA 16701-0000 | |
(814) 362-8390 | |
Not Available |
Full Name | Anil Pradhan |
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Gender | Male |
Speciality | Pediatrics |
Location | 116 Interstate Parkway, Bradford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639122609 | NPI | - | NPPES |
0007774520003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD081720E (Pennsylvania) | Primary |
Entity Name | Southern Tier Community Health Center Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184654477 PECOS PAC ID: 3375513724 Enrollment ID: O20191016001181 |
Mailing Address | Practice Location Address |
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Anil Pradhan, MD 116 Interstate Parkway, Bradford, PA 16701-0000 Ph: (814) 362-8390 | Anil Pradhan, MD 116 Interstate Parkway, Bradford, PA 16701-0000 Ph: (814) 362-8390 |
Rebecca Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Fourth Floor, Bradford, PA 16701 Phone: 814-362-8390 | |
Narayan Nayak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 195 Pleasant St, Bradford, PA 16701 Phone: 814-362-8390 | |
Joseph H Goro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-3123 Fax: 814-363-2701 |