# PRAVIN M PATEL, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730296567
- **Authorized official:** PRAVIN M PATEL MD (OWNER)
- **Authorized official phone:** (765) 364-0034

## Contact information

- **Practice address:** 1704 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1071
- **Practice address phone:** (765) 364-0034
- **Mailing address:** PO BOX 68952, INDIANAPOLIS, IN 46268-0952
- **Mailing address phone:** (317) 870-6708
- **Mailing address fax:** (317) 870-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 10/18/2007