Patel, Pravesh B
Patel, Pravesh B is an individual health care provider with primary practice located at 1520 Germantown St , Dayton OH 45417-3318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Patel, Pravesh B can be contacted via phone (937) 222-8111.Contact Information
Primary practice address
1520 Germantown St
Dayton OH 45417-3318
Phone: (937) 222-8111
Fax: (937) 222-3019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35083993P | Ohio |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01049357A | Indiana |
Profile Details
| NPI number | 1164409090 |
|---|---|
| LBN Legal business name | Patel, Pravesh B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jun 12th, 2013 - about 11 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 | 1164409090 | NPPES |
| Indiana | MEDICAID | 200490910 | |
| Indiana | MEDICAID | 2272231 |
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