Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANU RADHA PATHAK, MD
Active Sole ProprietorPediatrics · SOUTHBRIDGE, MA
Registration Details
- NPI Number
- 1376526350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2005 (20.410277148526 yrs)
- Last Updated
- Jan 17, 2012
- License
-
154034 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
85 SOUTH STSOUTHBRIDGE, MA, 015504005Browse MA providers · Browse ZIP 01550
- Phone
- 5087652700
- Fax
- 5087642563
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SOUTHBRIDGE, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MARSHA KAY FEARING | MD, MPH, MMSC. | 1023007184 |
| DR. PAMELA ANNE WILSON | D.O. FACOP | 1891739900 |
| DIANA RABKINA | MD | 1548285364 |
| MS. CYNTHIA MAE WILSON GRILLO | DO | 1366458457 |
| YELENA SAMOFALOV | M.D. | 1780798686 |
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.