Pralay Patro

NPI 1326692187 · on the registry since 2019

Practice

Address: 21401 Mack Ave
Grosse Pointe Woods, MI 48236
Phone: (586) 778-0800
Organisation at this address: Optalis Grosse Pointe Opco Llc
Heartland - Georgian East Of Grosse Point Mi, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 2251G0304X
2251G0304X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan