Mudan, Pushpa R

Mudan, Pushpa R is an individual health care provider with primary practice located at 45 High St , Nashua NH 03060-3312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mudan, Pushpa R can be contacted via phone (603) 821-7788.

Contact Information

Primary practice address
45 High St Nashua NH 03060-3312
Fax: (603) 821-5620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48483 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 14664 New Hampshire

Profile Details

NPI number 1528000890
LBN Legal business name Mudan, Pushpa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 6th, 2016 - about 10 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 1528000890 NPPES
Massachusetts MEDICAID 110006287/A
Massachusetts Other 7051466
Massachusetts Other 1528000890
Massachusetts MEDICAID 30209531
Massachusetts Other P00892397

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