Adumala, Pradeep
Adumala, Pradeep is an individual health care provider with primary practice located at 314 South Main Street , Conyngham, OR 18219-0395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adumala, Pradeep can be contacted via phone (570) 708-1500.Contact Information
Primary practice address
314 South Main Street
Conyngham, OR 18219-0395
Phone: (570) 708-1500
Fax: (570) 708-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD468261 | Pennsylvania |
Profile Details
| NPI number | 1770983272 |
|---|---|
| LBN Legal business name | Adumala, Pradeep |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2014 |
| Last updated | Aug 5th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770983272 | NPPES |
| Pennsylvania | MEDICAID | 103660812-0001 |
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