Healthcare Provider Details

I. General information

NPI: 1164327219
Provider Name (Legal Business Name): NAHUM V PRADHAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EBERHART RD
WHITEHALL PA
18052-3645
US

IV. Provider business mailing address

2000 EBERHART RD
WHITEHALL PA
18052-3645
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-9440
  • Fax:
Mailing address:
  • Phone: 610-776-9440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: