Praveen Putlur in South Bend - Orthopedic

Praveen Putlur - NPI 1609063908

Praveen Putlur is a Orthopedic in South Bend, Indiana. Praveen Putlur practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Praveen Putlur is 1609063908. The last update date is 2007-10-01.

Praveen Putlur's current location address is 111 W Jefferson Blvd, South Bend, Indiana. You can contact this provider via phone number 5746472600. The mailing address for Praveen Putlur is 111 W Jefferson Blvd, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Praveen Putlur
Address 111 W Jefferson Blvd, South Bend, Indiana
Phone Number 5746472600
Fax Number
Sole Proprietor N
Credentials MS, PT, CS

NPI Number Detail

NPI Number 1609063908
Provider Enumeration Date 2007-10-01
Last Updated Date 2007-10-01

Provider Mailing Address Detail

Address 111 W Jefferson Blvd
City South Bend
State Indiana (IN)
Post Code 466011994
Phone Number 5746472600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No 05008806A
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

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FAQs about Praveen Putlur

What is the Praveen Putlur's unique identification number?

The Praveen Putlur has been assigned the NPI (National Provider Identifier) Number 1609063908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Praveen Putlur is located?

The Praveen Putlur is situated at the following address: 111 W Jefferson Blvd, South Bend, IN, 466011994.

What is Praveen Putlur's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Praveen Putlur's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.

When was the Praveen Putlur's 1609063908 issued?

The Praveen Putlur's 1609063908 was issued on 2007-10-01.

As of what date was the information regarding Praveen Putlur, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Praveen Putlur, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-01.

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