Individual
PRAVEENA COIMBATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8867
(740) 356-6784
Mailing address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.132593
OH
Other
Enumeration date
03/25/2014
Last updated
12/20/2018
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