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

Prem Nath Pathak, MBBS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417187907

Prem Nath Pathak, MBBS is a Psychiatry in Bismarck, North Dakota. Qualified in 2003, 23 years ago. Practices with Sanford Bismarck, a 561-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota and Virginia.

Years since qualifying
23
Licensed in
ND, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

1800 E Interstate Ave Ste B
Bismarck, ND 58503-1566
Phone: (701) 323-6543
Fax: (701) 323-5492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Sanford Seventh & Rosser Clinic 414 N 7th St, Bismarck, ND 58501-4423 — (701) 323-6543

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 12788 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116020790 (VA)

Record details

NPI number1417187907
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJuly 20, 2009
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bismarck