Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRAVESH P DEOTALE, M.D
ActiveDR. PRAVESH P DEOTALE, M.D is a Psychiatric Neurology healthcare provider located in FESTUS, Missouri. NPI 1710275110 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · FESTUS, MO
Registration Details
- NPI Number
- 1710275110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2011 (15.027091435697 yrs)
- Last Updated
- Apr 24, 2025
- Licenses
-
036135582 (IL)2015036367 (MO)
Practice Information
- Address
-
1420 US HIGHWAY 61FESTUS, MO, 630284108Browse MO providers · Browse ZIP 63028
- Phone
- 6365432230
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.