Goud, Pravin T

Goud, Pravin T is an individual health care provider with primary practice located at 590 Country Club Pkwy Ste A , Eugene OR 97401-6025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Goud, Pravin T can be contacted via phone (541) 683-1559.

Contact Information

Primary practice address
590 Country Club Pkwy Ste A Eugene OR 97401-6025
Phone: (541) 683-1559
Fax: (541) 683-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301080583 Michigan
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X MD209034 Oregon

Profile Details

NPI number 1588784334
LBN Legal business name Goud, Pravin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588784334 NPPES
Oregon MEDICAID 500806693

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