person
Paul Promadhattvedi, MD
General Practice Physician in New York, New York
NPI 1992231294

Paul Promadhattvedi is a General Practice Physician based in New York, NY. Paul Promadhattvedi practices in New York, NY and has the professional credentials of MD. The NPI Number for Paul Promadhattvedi is 1992231294 and holds a License No. MT212736 (New York).

The current practice location address for Paul Promadhattvedi is 255 Fort Washington Ave Apt 41, New York, NY and can be reached out via phone at 917-328-3232.

Location: 255 Fort Washington Ave Apt 41, New York, NY, 10032-1229
person
Provider Profile Details
NPI Number
1992231294
Provider Name
Paul Promadhattvedi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
255 Fort Washington Ave Apt 41, New York, NY, 10032-1229
Phone Number
917-328-3232
Fax Number
Provider Enumeration Date
05/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
255 Fort Washington Ave Apt 41
City
State
Zip
10032-1252
Phone Number
917-328-3232
Fax Number
person
Provider Business Mailing Address Details
Address
255 Fort Washington Ave Apt 41
City
State
Zip
10032-1252
Phone Number
917-328-3232
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
301528 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MT212736 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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