Male or Other

Dr. Pranav U. Patel M.D.

Family Medicine Physician in Moses Lake, WA(View on Map)

Full Name

Dr. Pranav Upendra Patel M.D.

NPI Number

1861873804

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/16/2015

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Illinois
Washington

License Number

125-066862
MD60897378

Contact
Information

Purpose

Mailing
Location

Address

660 S COOLIDGE ST
8420 ASPI BLVD STE 1

City

Moses Lake
Moses Lake

State

WA
WA

Postal Code

98837-1872
98837-3601

Country

US
US

Telephone Number

(509) 793-9715
(509) 793-9781

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

ppatel1203523@wm.providencedirect.org

Endpoint Description

EPIC EMR

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

8420 Aspi Blvd Ste 1Moses Lake, WA988373601US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/19/2021

Provider Address

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