Organization
PRAVINCHANDRA P. PATEL, MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVINCHANDRA PATEL MD (DR.)
(662) 622-7011
Entity
Organization
Contact information
Practice address
423 CENTRAL AVE, COLDWATER, MS 38618-3915
(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
MS 07838
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004324215
AETNA
—
01
—
00122592
INDIVIDUAL MEDICAID
MS
01
—
080183850
RAILROAD MEDICARE
MS
05
—
09015376
—
MS
01
—
1124098603
MEDICARE INDIVIDUAL NPI
MS
01
—
3963799
CIGNA
MS
01
—
587274863D
BLUE CROSS BLUE SHIELD
MS
Enumeration date
04/30/2008
Last updated
03/16/2010
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