Pathak, Anu Radha
Pathak, Anu Radha is an sole proprietor health care provider with primary practice located at 85 South St , Southbridge MA 01550-4005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pathak, Anu Radha can be contacted via phone (508) 765-2700.Contact Information
Primary practice address
85 South St
Southbridge MA 01550-4005
Phone: (508) 765-2700
Fax: (508) 764-2563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 154034 | Massachusetts |
Profile Details
| NPI number | 1376526350 |
|---|---|
| LBN Legal business name | Pathak, Anu Radha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jan 17th, 2012 - 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 | 1376526350 | NPPES |
| Massachusetts | MEDICAID | 3195074 |
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