National Provider Identifier
Pradyumna Phatak, M.D.
Pradyumna Phatak, M.D. is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician in Rochester, NY and a listed phone number of (585) 922-4247.
Profile Overview
- NPI
- 1467407213
- Provider Type
- Individual
- Primary Specialty
- Hematology & Oncology Physician
- Enumeration Date
- May 23, 2006
- Last Updated
- March 20, 2014
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4247
Specialties
- Hematology & Oncology Physician (207RH0003X)
Full Record
- NPI
- 1467407213
- Entity Type
- Individual
- Last Name
- Phatak
- First Name
- Pradyumna
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4247
- Mailing Fax
- (585) 922-4622
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4247
- Practice Fax
- (585) 922-4622
- Enumeration Date
- May 23, 2006
- Last Updated
- March 20, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hematology & Oncology Physician (207RH0003X)
- Other Identifiers
- 00899243 (NY)