| Subarna P Pradhan M D S C | |
|
9722 Grand Ave Franklin Park IL 60131-3357 | |
| (847) 455-0110 | |
| (847) 455-0199 |
| Full Name | Subarna P Pradhan M D S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 9722 Grand Ave, Franklin Park, Illinois |
| Authorized Official Name and Position | Sabarna P Pradhan (PRESIDENT) |
| Authorized Official Contact | 8474550110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Subarna P Pradhan M D S C 9722 Grand Ave Franklin Park IL 60131-3357 Ph: (847) 455-0110 | Subarna P Pradhan M D S C 9722 Grand Ave Franklin Park IL 60131-3357 Ph: (847) 455-0110 |
| NPI Number | 1700198249 |
|---|---|
| Provider Enumeration Date | 07/13/2010 |
| Last Update Date | 08/19/2013 |
| Medicare PECOS PAC ID | 9335329960 |
|---|---|
| Medicare Enrollment ID | O20110214000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700198249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Subarna P Pradhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538282256 PECOS PAC ID: 7810022753 Enrollment ID: I20100317001042 |
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