MADHURA R PRADHAN M.D. NPI 1285640367

NPI Information

NPI: 1285640367
Provider Name: MADHURA R PRADHAN, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Organization: CHILDRENS HEALTH CARE ASSOCIATES INC

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - NEPHROLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-2449
Get Directions

Madhura R Pradhan, M.D. is a pediatric nephrology pediatrics in Philadelphia, PA with 30 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Madhura R Pradhan, M.D. NPI is 1285640367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - NEPHROLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-2449
Fax: (215) 590-0425

The NPI 1285640367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 12/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD065201L	PENNSYLVANIA	No
2	208000000X	Pediatrics		25MA06689700	NEW JERSEY	No
3	2080P0210X	Pediatrics	Pediatric Nephrology	MD065201L	PENNSYLVANIA	Yes
4	2080P0210X	Pediatrics	Pediatric Nephrology	25MA06689700	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	047831	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	H37447	MEDICARE UPIN
3	001844077	MEDICAID	PENNSYLVANIA
4	8530408	MEDICAID	NEW JERSEY
5	057213	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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