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Individual

DR. PRAVESH B PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1520 GERMANTOWN ST, DAYTON, OH 45417-3318
(937) 222-8111
(937) 222-3019
Mailing address
1520 GERMANTOWN ST, DAYTON, OH 45417-3318
(937) 222-8111
(937) 222-3019

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01049357A
IN
2084P0800X
Psychiatry Physician
Primary
35083993P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200490910
IN
05
2272231
OH
Enumeration date
12/30/2005
Last updated
06/12/2013
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