DR. DEEPAK RAVINDRA PRADHAN (NPI# 1124244587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124244587 |
| Entity Type | Individual |
| Full Name | DR. DEEPAK RAVINDRA PRADHAN |
| Credential | MD |
| Practice Address |
164 Summit Ave. Providence RI 02906 |
| Mailing Address |
60 Riverside Blvd Apt. 816 New York NY 10069-0201 |
| Practice Telephone | 4017932104 |
| Practice Fax Number | 4017934047 |
| Mailing Telephone | 2158806674 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
NY258094 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720148133 | Deepak G. Pradhan | Radiology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-08 |
| Street Address |
164 SUMMIT AVE. |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513442 | Nadeem Anis | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2006-01-22 |
| 1558529875 | Kristina W Berglund | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2008-05-23 |
| 1306044409 | Syed Naqvi | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2007-07-10 |
| 1912124454 | Angela Taber | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2007-04-19 |
| 1619192291 | Kyle R. Brownback | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366896912 | Michael Simon | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2016-04-20 |
| 1811257850 | James Ferguson | Internal Medicine | 593 Eddy St, Apc7, Providence, RI 02903-4923 | 2012-05-24 |
| 1710244157 | Roger Williams Medical Center | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2012-04-23 |
| 1801160668 | Samia Ayub | Internal Medicine | 164 Summit Ave, Providence, RI 02906-2853 | 2012-02-26 |
| 1154524643 | Rabih El-bizri | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2007-06-11 |
| 1689718090 | Matthew Dmitri Jankowich | Internal Medicine | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2007-02-18 |
| 1881613057 | Ghada Bourjeily | Internal Medicine | 146 West River Street, 3rd Floor, Providence, RI 02904 | 2006-07-19 |
| 1982639209 | Linda Nici | Internal Medicine | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-07-12 |
| 1972556066 | Joseph Vincent Meharg | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2006-05-18 |
| 1083665905 | Michael Anthony Passero | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2006-05-15 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on DR. DEEPAK RAVINDRA PRADHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.