Pratap, Pravin
Pratap, Pravin is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 208 , Mishawaka IN 46545-1465. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Pratap, Pravin can be contacted via phone (574) 335-6700.Contact Information
Primary practice address
611 E Douglas Rd Ste 208
Mishawaka IN 46545-1465
Phone: (574) 335-6700
Fax: (574) 335-0726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57.011812 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01073197 | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01073197A | Indiana |
Profile Details
| NPI number | 1811105810 |
|---|---|
| LBN Legal business name | Pratap, Pravin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 27th, 2024 - about 9 months 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 | 1811105810 | NPPES |
| Indiana | MEDICAID | 201193900 | |
| Indiana | Other | 1101408456 |
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