| Anil Pradhan, MD | |
| 116 Interstate Parkway, Bradford, PA 16701-0000 | |
| (814) 362-8390 | |
| Not Available | 
| Full Name | Anil Pradhan | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 116 Interstate Parkway, Bradford, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639122609 | NPI | - | NPPES | 
| 0007774520003 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD081720E (Pennsylvania) | Primary | 
| Entity Name | Southern Tier Community Health Center Network Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184654477 PECOS PAC ID: 3375513724 Enrollment ID: O20191016001181 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anil Pradhan, MD 116 Interstate Parkway, Bradford, PA 16701-0000 Ph: (814) 362-8390 | Anil Pradhan, MD 116 Interstate Parkway, Bradford, PA 16701-0000 Ph: (814) 362-8390 | 
| Rebecca Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Fourth Floor, Bradford, PA 16701 Phone: 814-362-8390 | |
| Narayan Nayak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 195 Pleasant St, Bradford, PA 16701 Phone: 814-362-8390 | |
| Joseph H Goro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-3123 Fax: 814-363-2701 |