DR. Pravesh P Deotale, M.D is a child and adolescent psychiatry psychiatry neurology in Springfield, IL with 23 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Pravesh P Deotale, M.D NPI is 1710275110. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5220 S 6TH STREET RD
1200 SUITE
SPRINGFIELD, IL
ZIP 62703-735
Phone: (217) 545-7644
Fax: (217) 585-6890
The NPI 1710275110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/19/2011 and was last updated on 6/2/2015.