PRUTHVI PRAVINKUMAR PATEL

JACKSON, MS
NPI1154115319
Professional NamePRUTHVI PATEL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  T-5835)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-04
Last Update Date2025-07-17
Business Address
PRUTHVI PRAVINKUMAR PATEL DO
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
PRUTHVI PRAVINKUMAR PATEL DO
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000