DR. ANU RADHA PATHAK MD NPI 1376526350

NPI Information

NPI: 1376526350
Provider Name: DR. ANU RADHA PATHAK, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
85 SOUTH ST
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 765-2700
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DR. Anu Radha Pathak, MD is a pediatrics in Southbridge, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Anu Radha Pathak, MD NPI is 1376526350. 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:

85 SOUTH ST
SOUTHBRIDGE, MA
ZIP 01550-005
Phone: (508) 765-2700
Fax: (508) 764-2563

The enumeration date for this NPI number is 11/23/2005 and was last updated on 1/17/2012.

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		154034	MASSACHUSETTS	Yes

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	A29689	MEDICARE ID-TYPE UNSPECIFIED
2	3195074	MEDICAID	MASSACHUSETTS
3	G94945	MEDICARE UPIN

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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