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PRA MEDICAL INC
NPI 1770613622
Specialist in South Bend, IN

Active since March 07, 2007
211 N EDDY ST, SOUTH BEND, IN 46617(574) 299-2450(574) 273-6546 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pra Medical Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRA MEDICAL INC (NPI 1770613622) is a healthcare organization registered as a specialist in South Bend, Indiana and active in the NPI registry since March 2007. The organization lists Yupida Prasertwanitch, Owner, as its authorized official.

NPPES Registry Identity

NPI1770613622
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRA MEDICAL INC
Location Address211 N EDDY STSouth Bend, IN 46617-2808
Mailing AddressPo Box 182Mishawaka, IN 46546-0182 · (574) 273-6546 · Fax (574) 273-5295
Phone(574) 299-2450
Fax(574) 273-6546
Organization SubpartNo
Authorized OfficialYupida PrasertwanitchOwner · (574) 273-6546
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770613622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01027483A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
211 N EDDY ST, South Bend, IN 46617
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Other Identifiers 1

Other3521474218IN · Ein

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTUMN MARIE HANNA PA
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 234-8161
DR. STEVEN P. CROWELL MD
Internal Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9340
JESSICA A HECKMAN R.D.
Dietitian, Registered
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9331
LOUIS CAVADINI DO
Family Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9395
MS. REGINA R. JASIEWICZ FNP
Nurse Practitioner (Family)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9231
DR. ERSALAN A RAHMAN M.D.
Ophthalmology
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9334
DR. SCOTT H WOLF MD
Radiology (Diagnostic Radiology)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9203
GABRIELA L TAYLOR PA
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pra Medical Inc's NPI number?

The NPI number for Pra Medical Inc is 1770613622. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Pra Medical Inc located?

Pra Medical Inc is located at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 299-2450.

What is Pra Medical Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pra Medical Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.