| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PRATEEK C GOWDA | 1831782572 | 2021-02-13 |
Prateek C Gowda is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831782572. Registration indicates Prateek C Gowda is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Prateek C Gowda |
| Practice Office Address | 600 N WOLFE ST BALTIMORE, MD US |
| Practice Office Telephone | 4109555000 |
| Mailing Address | 733 N BROADWAY STE 147 BALTIMORE, MD 212051832 US |
| Business Telephone | 4109553080 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |