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Dr. Pradyumna Phatak, MD
Hematology & Oncology Physician in Rochester, New York
NPI 1467407213

Pradyumna Phatak is a Hematology & Oncology Physician based in Rochester, NY and is specialized in Hematology & Oncology. Pradyumna Phatak practices in Rochester, NY and has the professional credentials of MD. The NPI Number for Pradyumna Phatak is 1467407213 and holds a License No. 160550 (New York).

The current practice location address for Pradyumna Phatak is 1425 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-4247 and via fax at 585-922-4622.

Location: 1425 Portland Ave, Rochester, NY, 14621-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467407213
Provider Name
Pradyumna Phatak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1425 Portland Ave, Rochester, NY, 14621-3001
Phone Number
585-922-4247
Fax Number
585-922-4622
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00899243 05 NY
institution
Provider Business Practice Location Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4247
Fax Number
585-922-4622
person
Provider Business Mailing Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3001
Phone Number
585-922-4247
Fax Number
585-922-4622
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
160550 (New York)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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