| Organization Name: | PRAVIN R PATEL MD. |
| NPI Number: | 1679613525 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRAVIN R PATEL (PHYSICIAN) |
| Mailing Address: | 200 Main St Clio |
| State: | SC US |
| Postal Code: | 29525 |
| Phone Number: | 8435862292 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0000X |
| License Number: | 113139 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |