Individual
MR. PRAVIN P PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 CENTRAL AVE, COLDWATER, MS 38618
(662) 622-7011
(662) 622-0257
Mailing address
PO BOX 1060, COLDWATER, MS 38618-1060
(662) 622-7011
(662) 622-0257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MS07838
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122592
—
MS
01
—
0130244
UNITED HEALTH CARE
MS
01
—
080183850
RAILROAD MEDICARE
MS
05
—
09015376
—
MS
Enumeration date
01/25/2006
Last updated
04/30/2008
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