Pra Medical Inc is a Specialist in South Bend, Indiana. Pra Medical Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pra Medical Inc is 1770613622. The last update date is 2020-08-22.
Pra Medical Inc's current location address is 211 N Eddy St, South Bend, Indiana. You can contact this provider via phone number 5742992450 and fax number 5742736546. The mailing address for Pra Medical Inc is 211 N Eddy St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pra Medical Inc |
|---|---|
| Address | 211 N Eddy St, South Bend, Indiana |
| Phone Number | 5742992450 |
| Fax Number | 5742736546 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Prasertwanitch Yupida |
| Credentials | MD |
| Telephone Number | 5742736546 |
NPI Number Detail
| NPI Number | 1770613622 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 211 N Eddy St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172808 |
| Phone Number | 5742992450 |
| Fax Number | 5742736546 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 01027483A |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3521474218 | IN | EIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pra Medical Inc by the Centers for Medicare & Medicaid Services?
The Pra Medical Inc has been issued the NPI (National Provider Identifier) 1770613622, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pra Medical Inc?
The Pra Medical Inc is physically situated at 211 N Eddy St, in the city of South Bend, state of IN, with the postal code 466172808.
What is the area of specialization for Pra Medical Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pra Medical Inc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Pra Medical Inc receive the assignment of its 1770613622 from the Centers for Medicare & Medicaid Services?
The Pra Medical Inc was issued its 1770613622 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information pertaining to Pra Medical Inc most recently updated or revised?
The details related to Pra Medical Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.