Individual
DR. PRAVIN I PATEL
Active
Individual
DR. PRAVIN I PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10239
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058954
MT STATE BC/BS
WV
01
—
0004420446
AETNA
WV
05
—
0082810000
—
WV
01
—
0573008
HOME PLAN PEIA AND CHIPS
WV
01
—
110087720
RR MEDICARE
WV
01
—
505819
NATIONAL CAPITAL PPO
WV
01
—
E19547
WV WORKER'S COMP
WV
01
—
FQ10239
HEALTH PLAN
WV
Enumeration date
07/07/2006
Last updated
08/11/2011
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