Organization Active NPI

Pradeep Manudhane MD

  • Neurology Physician
  • Alliance, OH
National Provider Identifier
1447579537
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35057509 Issued in OH
Legal business name
PRADEEP MANUDHANE MD
Practice address
1207 W State St
Suite M
Alliance, OH 44601-4686
Phone
(330) 821-8047
Fax
(330) 821-9372
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pradeep Manudhane, MD
Title
MD
Phone
(330) 821-8047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 35057509 OH Primary

Addresses

Primary practice location

1207 W State St
Suite M
Alliance, OH 44601-4686

Mailing address

1207 W State St
Suite M
Alliance, OH 44601-4686
Phone (330) 821-8047

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1447579537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W STATE ST",
            "address_2": "SUITE M",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014686",
            "telephone_number": "330-821-8047",
            "fax_number": "330-821-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W STATE ST",
            "address_2": "SUITE M",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014686",
            "telephone_number": "330-821-8047",
            "fax_number": "330-821-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADEEP MANUDHANE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "MANUDHANE",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "330-821-8047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35057509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.