Damle, Pradeep Balkrishna
Damle, Pradeep Balkrishna is an individual health care provider with primary practice located at 1331 W Avenue J Ste 101, Lancaster CA 93534-2942. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Damle, Pradeep Balkrishna can be contacted via phone (661) 945-8717.Contact Information
Primary practice address
1331 W Avenue J Ste 101
Lancaster CA 93534-2942
Phone: (661) 945-8717
Fax: (661) 945-4867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A36983 | California |
Profile Details
| NPI number | 1770563116 |
|---|---|
| LBN Legal business name | Damle, Pradeep Balkrishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Mar 7th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770563116 | NPPES |
| California | MEDICAID | 00A369830 |
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