Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MD TAJUL ISLAM PRODHAN, MD
DeactivatedMD TAJUL ISLAM PRODHAN, MD is a Internal Medicine healthcare provider located in ERIE, Pennsylvania. NPI 1104273291 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · ERIE, PA
This NPI has been deactivated.
The record was deactivated on January 20, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104273291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2016 (0.67671232876712 yrs)
- Last Updated
- Sep 28, 2022
- Deactivated
- Jan 20, 2017
- Licenses
-
303807-01 (NY)MD479217 (PA)
Practice Information
- Address
-
201 STATE STERIE, PA, 165500002Browse PA providers · Browse ZIP 16550
- Phone
- 8148774922
- Fax
- 8148773622
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in ERIE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MAHMOUD I ISMAIL | MD | 1912903253 |
| ANNE-MARIE LISZKA | — | 1023014032 |
| MARY ANN ANDRIOLE-WENDEL | D.O. | 1376549253 |
| DANIEL BARBERO | — | 1710986534 |
| DANH CONG HUYNH | D.O. | 1568461358 |
| MR. WILLIAM A. SWAGLER | D.O. | 1275532475 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.