Individual
PRAVEEN C PERNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12174 N MERIDIAN ST STE 100, CARMEL, IN 46032-4578
(317) 208-3866
(317) 208-3867
Mailing address
12174 N MERIDIAN ST STE 100, CARMEL, IN 46032-4578
(317) 208-3866
(317) 208-3867
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01067826A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200996340
—
IN
Enumeration date
05/22/2007
Last updated
09/19/2022
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