Pradeep P Mammen
Medical Specialty
Professional ID
- NPI: 1386609196
- PECOS ID: 5799765384
- Enrollment ID: I20040723000499
- Credential(MD, DO, DPM): MD
- Medical School: University Of Wisconsin Medical School
- Medical School Graduation Year: 1995
Hospital Service
- Hospital CCN1: 450044
- Business Name (LBN)1: Ut Southwestern University Hospital St Paul
Medical Practices
- Organization Name: The University Of Texas Southwestern Medical Center At Dallas
- Group Practice ID assigned by PECOS: 0648188250
- Number of Group Practice member: 1840
Location
- Address1: 5303 Harry Hines Blvd
- Address2: Suite 4
- City: Dallas
- State: Texas
- Zip Code: 75390
- Phone Number: (214)645-0624
Location
- Address1: 5323 Harry Hines Blvd
- Address2:
- City: Dallas
- State: Texas
- Zip Code: 75390
- Phone Number:
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes