Individual
RAYMOND G. PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 LITTLE YORK RD, SUITE 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Mailing address
4160 LITTLE YORK RD, SUITE 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35-047818-P
OH
207R00000X
Internal Medicine Physician
35047818
OH
207RC0000X
Cardiovascular Disease Physician
35047818
OH
207RI0011X
Interventional Cardiology Physician
Primary
35047818
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0676282
—
OH
01
—
110077874
RAILROAD MEDICARE
OH
Enumeration date
03/17/2006
Last updated
01/07/2021
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