KUMUDA R PRADHAN MD PA
Radiology at Oregon St, El Paso, TX

License number
Texas N5950
Category
Radiology
Type
Surgery
Owner
Name: KUMUDA PRADHAN MD
Title: PRESIDENT
Phone: (915) 779-1716
Address
Address
1700 N Oregon St, El Paso, TX 79902
National Provider ID: 1902100217
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KUMUDA R. PRADHAN, M.D., PA

El Paso, TX

Doing business as:
Kumuda R. Pradhan, M.D., PA
Registration:
Dec 21, 2010
Addresses:
1111 Calle Parque Dr, El Paso, TX 79912 (Mailing)
1700 N Oregon St, El Paso, TX 79902
State ID:
0801359585
Business type:
Professional Association
Director, Member, President:
Kumuda Pradhan (Director, Member, President)
Agent:
Kumuda R. Pradhan,1111 Calle Parque Dr, El Paso, TX 79912 (Physical)
TIN:
32043240202

Kumuda R Pradhan MD PA

100 N Stanton St, El Paso, TX 79901

Industry:
Medical Doctor's Office
Presidents:
Clyde A. Pine (Principal),Kumuda R. Pradhan President, inactive

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