Individual provider · Type 1 NPI

Prabhudev Patil

Student in an Organized Health Care Education/Training Program · O Fallon, IL

NPI number 1609571306 Active

Practice location

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284

Fax (844) 458-7916

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609571306

Prabhudev Patil's National Provider Identifier is 1609571306, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in O Fallon, IL. The record was last updated on Apr 3, 2023.