Praveen Parvathala, M.D.
NPI #1861409971 in South Holland, Illinois
Provider Information
- NPI Number
- 1861409971
- Entity Type
- Individual
- Name
- Praveen Parvathala, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Sep 21, 2022
Practice Location
- Address
- 100 W 162ND ST
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-2003
- Phone
- (708) 730-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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