Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Deepak Ravindra Pradhan, MD

Individual provider Pulmonary Disease Physician · NPI 1124244587

Dr. Deepak Ravindra Pradhan, MD is a Pulmonary Disease in Providence, Rhode Island. Graduated from Jefferson Medical College of Thomas Jefferson University in 2006, 20 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

164 Summit Ave
Providence, RI 02906
Phone: (401) 793-2104
Fax: (401) 793-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence NY258094 (NY)

Record details

NPI number1124244587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESJune 19, 2013
Mailing address60 Riverside Blvd, Apt. 816, New York, NY 10069-0201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2006 (20 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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