Praveen Datar, MD
NPI #1053734657 in West Plains, Missouri
Provider Information
- NPI Number
- 1053734657
- Entity Type
- Individual
- Name
- Praveen Datar, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Credential
- MD
- Enumeration Date
- Feb 3, 2014
- Last Updated
- Jul 26, 2024
Practice Location
- Address
- 1100 N KENTUCKY AVE
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-2029
- Phone
- (417) 256-9111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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