MEDICARE: PRAMOD PILANIA M.D.

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
1	2084P0800X	Psychiatry Physician	MD427506	PA

General Provider Information

NPI Number	:	1699817353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAMOD PILANIA M.D.

Provider Business Mailing Address
First Line	:	932 PENN AVENUE
Second Line	:	1ST FLOOR
City	:	WYOMISSING
State	:	PA
Zip	:	19610-3017
Country	:	US
Telephone Number	:	484-513-3793
Fax Number	:	484-509-5122

Provider Business Practice Location Address
First Line	:	2927 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-2800
Country	:	US
Telephone Number	:	215-291-4957
Fax Number	:	484-221-9130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	10/01/2024

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