Patel, Pravin-Kumar

Patel, Pravin-Kumar is an individual health care provider with primary practice located at 811 S Paulina St # Mc588 , Chicago IL 60612-4353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Patel, Pravin-Kumar can be contacted via phone (312) 996-9313.

Contact Information

Primary practice address
811 S Paulina St # Mc588 Chicago IL 60612-4353
Phone: (312) 996-9313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036-089964 Illinois

Profile Details

NPI number 1760478325
LBN Legal business name Patel, Pravin-Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jan 26th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760478325 NPPES
Mississippi MEDICAID 03575275
Mississippi MEDICAID 036089964
Mississippi Other 1627123
Mississippi MEDICAID 1000956000

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