Pradhan, Medha A
Pradhan, Medha A is an sole proprietor health care provider with primary practice located at 7205 Copperfield Dr , Montgomery AL 36117-7101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as her primary health care specialty. Pradhan, Medha A can be contacted via phone (334) 396-6055.Contact Information
Primary practice address
7205 Copperfield Dr
Montgomery AL 36117-7101
Phone: (334) 396-6055
Fax: (334) 273-0952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 21981 | Alabama |
Profile Details
| NPI number | 1255393393 |
|---|---|
| LBN Legal business name | Pradhan, Medha A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Mar 29th, 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 | 1255393393 | NPPES |
| Alabama | MEDICAID | 529903260 |
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