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Individual

DR. PRAFUL V DESAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BRADDOCK AVE, MT PLEASANT, PA 15666-1458
(724) 547-4547
(724) 547-7460
Mailing address
1 BRADDOCK AVE, MT PLEASANT, PA 15666-1458
(724) 547-4547
(724) 547-7460

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD021125E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006399500001
PA
01
1306883608
RAILROAD MEDICARE
PA
Enumeration date
06/02/2006
Last updated
06/30/2008
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