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Dr. Matous Pradny, MD
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1255535779

Matous Pradny is a Student in an Organized Health Care Education/Training Program based in Mishawaka, IN. Matous Pradny practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Matous Pradny is 1255535779 and holds a License No. 4301088348 (Indiana).

The current practice location address for Matous Pradny is 5215 Holy Cross Parkway, Mishawaka, IN and can be reached out via phone at 574-237-7111. You can also correspond with Matous Pradny through the mailing address at 810 PARK PL, MISHAWAKA, IN - 46545-3520 (mailing address contact number: 574-472-6700).

Location: 5215 Holy Cross Parkway, Mishawaka, IN, 46545-3520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255535779
Provider Name
Matous Pradny
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5215 Holy Cross Parkway, Mishawaka, IN, 46545-3520
Phone Number
574-237-7111
Fax Number
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000626995 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Parkway
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-237-7111
Fax Number
person
Provider Business Mailing Address Details
Address
810 Park Pl
City
Mishawaka
State
Indiana
Zip
46545-3520
Phone Number
574-472-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
01066616A (Indiana)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301088348 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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