Individual provider · Type 1 NPI

Pradeep R. Bankulla, MD

Diagnostic Radiology Physician · Philadelphia, PA

NPI number 1235171968 Active

Practice location

4900 Frankford Ave, Attn: Radiology
Philadelphia, PA 19124-2618

Call (602) 910-6887 Map

Fax (215) 612-5077

Mailing address

PO Box 782743, Attn: Credentialing
Philadelphia, PA 19178-2743

Other practice locations

  • 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
  • 380 Oxford Valley Rd, Langhorne, PA 19047-8304 · (215) 949-5111

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204XMD431933 (PA)
Diagnostic Radiology Physician Primary 2085R0202XMD431933 (PA)
Vascular & Interventional Radiology Physician 2085R0204X25MA08298700 (NJ)
Diagnostic Radiology Physician 2085R0202X25MA08298700 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1235171968

Pradeep R. Bankulla, MD's National Provider Identifier is 1235171968, issued on Jun 10, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 26, 2019.