Neelima Pradhan, MD

Individual provider Active NPI Psychiatry Physician · Paducah, KY

NPI 1912935693 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1912935693
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
30773 (KY)
Practice address
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone
(972) 420-8345
Fax
(972) 420-7770
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30773KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Mental Health Management LLC Psychiatry Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30773 KY Yes

Addresses

Primary practice location

1530 Lone Oak Rd
Paducah, KY 42003-7901

Mailing address

1898 Fort Rd
Sheridan, WY 82801-8320
Phone (972) 420-8345

Other providers in Paducah, KY

All providers in Paducah, KY · Psychiatry Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.