Pratik Pradhan
Orthopaedic Surgery in Boston, MA. Individual provider (NPI-1).
NPI number1710620992
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1710620992
- Entity type
- Individual (NPI-1)
- Name
- Pratik Pradhan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2022
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 3014310 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2000
Mailing address
55 Fruit StBoston, MA 02114-2696
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