PRAVEEN DATAR

WEST PLAINS, MO
NPI1053734657
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MO  2020004210)
Enumeration Date2014-02-03
Last Update Date2024-02-20
Business Address
PRAVEEN DATAR
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775-2029
Phone number: 417-256-9111
Mailing Address
PRAVEEN DATAR
PO BOX 1100
WEST PLAINS, MO 65775-1100
Phone number: 417-256-9111