9981 S HEALTHPARK DR
FORT MYERS, FL 33908-3618 US PECOS Enrolled
Overview
Raju Pradhan is a Hospitalist in the FORT MYERS area and has over 23 years of experience. Raju Pradhan primary office location is at 9981 S HEALTHPARK DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2001
Raju Pradhan is affiliated with two hospitals in the FORT MYERS area, including GULF COAST MEDICAL CENTER LEE HEALTH. The NPI number is 1356581516 and the information was updated approximately 3 years ago.
Raju Pradhan is affiliated with one medical group in the FORT MYERS area, LEE MEMORIAL HEALTH SYSTEM.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| ME122800 | FL |
| MT189955 | PA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 014619800 | FL |
| Taxonomy | State | Primary? |
|---|---|---|
| Hospitalist - Taxonomy Code 208M00000X | FL | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | PA | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20150311002727 |
| PECOS Individual PAC ID: | 0648464131 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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