Deotale, Pravesh P

Deotale, Pravesh P is an individual health care provider with primary practice located at 5220 S 6Th Street Rd 1200 Suite, Springfield IL 62703-5735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Deotale, Pravesh P can be contacted via phone (217) 545-7644.

Contact Information

Primary practice address
5220 S 6Th Street Rd 1200 Suite Springfield IL 62703-5735
Fax: (217) 585-6890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125059332 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036135582 Illinois

Profile Details

NPI number 1710275110
LBN Legal business name Deotale, Pravesh P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Jun 2nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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