Rotsna Pradhan, M.D.
Psychiatry & Neurology, Psychiatry in Spokane, WA. Individual provider (NPI-1).
NPI number1497945489
StatusActive
Last updated in NPPESNov 17, 2016
Details
- NPI
- 1497945489
- Entity type
- Individual (NPI-1)
- Name
- Rotsna Pradhan
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2007
- Last updated
- Nov 17, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Aug 30, 2023 to Aug 30, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD60688873 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | MD13746 | RI |
Practice location
105 W 8th AveSuite 450e
Spokane, WA 99204-2302
Phone 509-474-6920
Mailing address
Po Box 421Liberty Lake, WA 99019-0421
Phone 866-747-2455
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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