Provider / Organization | NPI | Date Certified |
---|---|---|
PRIYANKA PRADHAN | 1578046975 | 2018-09-11 |
Priyanka Pradhan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578046975. Registration indicates Priyanka Pradhan is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Priyanka Pradhan |
Practice Office Address | 1901 W HARRISON ST CHICAGO, IL US |
Practice Office Telephone | 3128646000 |
Mailing Address | 1901 W HARRISON ST CHICAGO, IL 606123714 US |
Business Telephone | 3128646000 |
Code | Practice | License No State |
---|---|---|
207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 125.079607
IL |