Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pra Medical Inc

Organization Specialist · NPI 1770613622

Pra Medical Inc is a Specialist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 299-2450
Fax: (574) 273-6546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01027483A (IN)

Record details

NPI number1770613622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yupida Prasertwanitch — Owner · (574) 273-6546
NPI enumeratedMarch 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 182, Mishawaka, IN 46546-0182

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