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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1760478325 | NPPES |
| Mississippi | MEDICAID | 03575275 | |
| Mississippi | MEDICAID | 036089964 | |
| Mississippi | Other | 1627123 | |
| Mississippi | MEDICAID | 1000956000 |
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