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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1164409090 NPPES
Indiana MEDICAID 200490910
Indiana MEDICAID 2272231

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