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

Pradeep R. Bankulla, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1235171968

Pradeep R. Bankulla, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 1995, 31 years ago. Practices with Progressive Physician Assoc Inc, a 163-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
31
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
4
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

4900 Frankford Ave Attn: Radiology
Philadelphia, PA 19124-2618
Phone: (602) 910-6887
Fax: (215) 612-5077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 380 Oxford Valley Rd, Langhorne, PA 19047-8304 — (215) 949-5111
  • 10800 Knights Rd, Philadelphia, PA 19114-4200 — (215) 612-4811
  • 2451 Grant Ave, Philadelphia, PA 19114-1031 — (215) 464-8050
  • 10160 Bustleton Ave, Philadelphia, PA 19116-3749 — (215) 827-8200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD431933 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD431933 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 25MA08298700 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA08298700 (NJ)

Record details

NPI number1235171968
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESJuly 26, 2019

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Progressive Physician Assoc Inc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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