Pravak, Roman O
Pravak, Roman O is an individual health care provider with primary practice located at 800 Ostrum St Ste 100 , Fountain Hill PA 18015-1010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Pravak, Roman O can be contacted via phone (484) 526-3010.Contact Information
Primary practice address
800 Ostrum St Ste 100
Fountain Hill PA 18015-1010
Phone: (484) 526-3010
Fax: (484) 526-3591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME94998 | Florida |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | MD444521 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD444521 | Pennsylvania |
Profile Details
| NPI number | 1275582082 |
|---|---|
| LBN Legal business name | Pravak, Roman O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1275582082 | NPPES |
| Pennsylvania | MEDICAID | 102724414-0001 | |
| Pennsylvania | MEDICAID | 276217000 |
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