| NPI | 1720253255 |
|---|---|
| Doing Business As | GARY L PRAH, MD |
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Director Of Billing 765-446-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |