Pramoda Fatehchand, PA C

NPI #1720389513 in Logan, Ohio

Provider Information

NPI Number: 1720389513
Entity Type: Individual
Name: Pramoda Fatehchand, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Nov 9, 2010
Last Updated: Nov 23, 2020

Practice Location

Address: 601 STATE ROUTE 664 N
City: Logan
State: Ohio
ZIP Code: 43138-8541
Phone: (740) 380-8410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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