DR. PRAVIN PRATAP (NPI# 1811105810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811105810 |
| Entity Type | Individual |
| Full Name | DR. PRAVIN PRATAP |
| Credential | M.D. |
| Practice Address |
2349 Lake Ave Suite 99 Plymouth IN 46563-7835 |
| Mailing Address |
Po Box 6309 South Bend IN 46660-6309 |
| Practice Telephone | 5749412977 |
| Practice Fax Number | 5749412978 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01073197 | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 57.011812 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201193900 | 05 | |
| IN | BCBS | 000000840103 | 01 |
| Street Address |
2349 LAKE AVE SUITE 99 |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563-7835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376571265 | Craig B Miller | Family Medicine | 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7835 | 2006-06-29 |
| 1013310192 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 2349 Lake Ave, Suite 201, Plymouth, IN 46563-7835 | 2014-10-02 |
| 1386081875 | Janice L Peterson | Family Medicine | 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7835 | 2013-05-24 |
| 1073892428 | Laura Elizabeth Blackford | Family Medicine | 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7835 | 2011-08-16 |
| 1417111303 | Monali Desai | Internal Medicine | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7835 | 2008-07-10 |
| 1871614594 | Kandie Ann Forest | Nurse Practitioner | 2349 Lake Ave, Suite 201, Plymouth, IN 46563-7835 | 2007-04-02 |
| 1639207707 | Anand Singla | Internal Medicine | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7835 | 2007-03-01 |
| 1487669859 | Mojgan Arashvand | Internal Medicine | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7835 | 2006-07-31 |
| 1881616324 | Sherry C Davis | Nurse Practitioner | 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7835 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164087474 | Ask Wellness, LLC | Internal Medicine | 118 Long Pond Rd Ste 101, Plymouth, MA 02360-2662 | 2019-05-02 |
| 1306183215 | Russell J Tonkin | Internal Medicine | 131 Windy Ln, Plymouth, VT 05056-4416 | 2013-01-11 |
| 1588923734 | Gregory David Hazergian | Internal Medicine | 40720 Ann Arbor Rd E, Plymouth, MI 48170-4447 | 2012-05-09 |
| 1124331426 | Stephen Andrew Antonucci | Internal Medicine | 46347 Academy Dr, Plymouth, MI 48170-3519 | 2010-07-15 |
| 1871738997 | Rabia Bashir Khan | Internal Medicine | 15535 34th Ave N Ste 100, Plymouth, MN 55447-2170 | 2008-12-03 |
| 1427215433 | Brian Richard Miller | Internal Medicine | 4500 Lanewood Ln N, Plymouth, MN 55446-3432 | 2008-05-19 |
| 1184895849 | Mario De Meireles Md Mhsa PC | Internal Medicine | 9260 Fellows Creek Dr, Plymouth, MI 48170-6354 | 2008-03-20 |
| 1225252786 | William S George | Internal Medicine | 50 Bay Shore Dr, Plymouth, MA 02360-2006 | 2007-04-13 |
| 1124110556 | Stephanie L Marglin | Internal Medicine | 10 Cordage Park Cir Ste 201, Plymouth, MA 02360-7318 | 2006-09-30 |
| 1003843202 | Gregory Joseph Robke | Internal Medicine | 45 Resnik Road, Suite 302, Plymouth, MA 02360 | 2006-06-26 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on DR. PRAVIN PRATAP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.