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

Prabhudev Patil

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609571306

Prabhudev Patil is a Student in an Organized Health Care Education/Training Program in O Fallon, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone: (618) 233-5480
Fax: (844) 458-7916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609571306
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 2, 2023
Mailing address3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284

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