Padmanabhan, Pradeep

Padmanabhan, Pradeep is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Padmanabhan, Pradeep can be contacted via phone (937) 641-3600.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3600
Fax: (502) 852-8556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39337 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.135256 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 39337 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2019-02646 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35.135256 Ohio

Profile Details

NPI number 1588654735
LBN Legal business name Padmanabhan, Pradeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 16th, 2023 - about 3 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 1588654735 NPPES
Kentucky MEDICAID 7100002140
Kentucky MEDICAID 0325480
Kentucky MEDICAID 200884420

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