IndividualActive
Prem Pathak, MBBS
NPI 1417187907 · Psychiatry Physician · Bismarck, ND
Provider details
- NPI number
- 1417187907
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- License
- 0116020790 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1800 E Interstate Ave Ste B
Bismarck, ND 58503-1566
Phone: (701) 323-6543
Fax: (701) 323-5492
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 5074
Sioux Falls, SD 57117-5074
Additional practice locations (1)
- Sanford Seventh & Rosser Clinic 414 N 7th StBismarck, ND 58501-4423Phone: (701) 323-6543
Registry dates
- Enumerated
- 2009-07-20
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.