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Individual

DR. PRANAV UPENDRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8420 ASPI BLVD STE 1, MOSES LAKE, WA 98837-3601
(509) 793-9781
(509) 764-3281
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125-066862
IL
207Q00000X
Family Medicine Physician
Primary
MD60897378
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2111271
WA
Enumeration date
06/16/2015
Last updated
05/04/2026
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