Praveen Datar, MD | |
1100 N Kentucky Ave, West Plains, MO 65775-2029 | |
(417) 256-9111 | |
Not Available |
Full Name | Praveen Datar |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 17 Years |
Location | 1100 N Kentucky Ave, West Plains, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053734657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 2020004210 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ozarks Medical Center | West plains, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ozarks Medical Center | 3870491863 | 143 |
Entity Name | Ozarks Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
Mailing Address | Practice Location Address |
---|---|
Praveen Datar, MD Po Box 1100, West Plains, MO 65775-1100 Ph: (417) 256-9111 | Praveen Datar, MD 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111 |
Dr. Sathish Kumar Itikyala, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Dr. Carrie Leann Finke, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 Fax: 417-255-9741 | |
Dr. Frank C. Eddleman, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1801 E State Route K, West Plains, MO 65775 Phone: 417-257-2454 | |
Kevin E Crowe, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-9111 | |
Alan D Troy, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1115 Alaska St, West Plains, MO 65775 Phone: 417-257-5950 | |
Muhammad Javed Ashraf, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-505-7836 |