National Provider Identifier
Rubin Man Pradhan
Rubin Man Pradhan is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician in Ithaca, NY and a listed phone number of (607) 219-4600.
Profile Overview
- NPI
- 1245785054
- Provider Type
- Individual
- Primary Specialty
- Endocrinology, Diabetes & Metabolism Physician
- Enumeration Date
- August 22, 2016
- Last Updated
- January 29, 2025
Practice Location
- 720 Willow Ave
- Ithaca, NY 14850-3215
Phone: (607) 219-4600
Specialties
- Endocrinology, Diabetes & Metabolism Physician (207RE0101X)
Full Record
- NPI
- 1245785054
- Entity Type
- Individual
- Last Name
- Pradhan
- First Name
- Rubin
- Middle Name
- Man
- Mailing Street Address
- 720 Willow Ave
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3215
- Mailing Country
- US
- Mailing Phone
- (607) 219-4600
- Practice Street Address
- 720 Willow Ave
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3215
- Practice Country
- US
- Practice Phone
- (607) 219-4600
- Enumeration Date
- August 22, 2016
- Last Updated
- January 29, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 29, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Endocrinology, Diabetes & Metabolism Physician (207RE0101X)