PRAVEEN BERE

BOISE, ID
NPI1265710305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: ID  5561374)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  BP10040139)
208M00000X Hospitalist
(Licence: NM  MD2014-0084)
Enumeration Date2011-07-22
Last Update Date2024-11-05
Business Address
Dr. PRAVEEN BERE MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
Mailing Address
Dr. PRAVEEN BERE MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: