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NPI Code Detail

MEDICARE: RAMPRASAD PATNAIK AND SUDHA PATNAIK

MEDICARE: RAMPRASAD PATNAIK AND SUDHA PATNAIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD037052LPA

General Provider Information

NPI Number : 1912102971
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAMPRASAD PATNAIK AND SUDHA PATNAIK
Provider Business Mailing Address
First Line : 5000 WAYNE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-3676
Country : US
Telephone Number : 215-848-9900
Fax Number : 215-848-4694
Provider Business Practice Location Address
First Line : 5000 WAYNE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-3676
Country : US
Telephone Number : 215-848-9900
Fax Number : 215-848-4694
Authorized Official
Title or Position : MEDICAL DOCTOR
Name : DR. RAMPRASAD PATNAIK
Credential : M.D
Telephone Number : 215-848-9900
Provider Enumeration Date : 06/19/2007
Last Update Date : 05/29/2009

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Directions to “RAMPRASAD PATNAIK AND SUDHA PATNAIK ” Practice Location

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