Organization Active NPI

Pravincha P. Patel, M.D.

  • Primary Care Clinic/Center
  • Coldwater, MS
National Provider Identifier
1255645131
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R868252 Issued in MS
Legal business name
PRAVINCHA P. PATEL, M.D.
Practice address
423 Central Ave
Coldwater, MS 38618-3915
Phone
(662) 622-7011
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pravincha P Patel
Title
M.D.
Phone
(662) 622-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R868252 MS Primary

Addresses

Primary practice location

423 Central Ave
Coldwater, MS 38618-3915

Mailing address

291 Doc Woody Rd
Coldwater, MS 38618-3501
Phone (662) 562-7092

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1255645131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 DOC WOODY RD",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183501",
            "telephone_number": "662-562-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183915",
            "telephone_number": "662-622-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVINCHA P. PATEL, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAVINCHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "662-622-7011",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R868252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.