Gulati, Praveen B
Gulati, Praveen B is an individual health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Gulati, Praveen B can be contacted via phone (508) 765-9771.Contact Information
Primary practice address
100 South St
Southbridge MA 01550-4051
Phone: (508) 765-9771
Fax: (508) 764-9410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 46377 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 46377 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 46377 | Massachusetts |
Profile Details
| NPI number | 1750350575 |
|---|---|
| LBN Legal business name | Gulati, Praveen B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750350575 | NPPES |
| Massachusetts | MEDICAID | 2090244 | |
| Massachusetts | Other | 38409 | |
| Massachusetts | Other | J09884 | |
| Massachusetts | Other | 316123 | |
| Massachusetts | Other | 24783 |
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