Mr Praveen Putlur, MS, PT, CSCS - Physical Therapist in South Bend, IN

Mr Praveen Putlur, MS, PT, CSCS is a Physical Therapist - Orthopedic based in South Bend, Indiana. Mr Praveen Putlur is licensed to practice in Indiana (license number 05008806A) and his current practice location is 111 W Jefferson Blvd, Suite 100, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 647-2600.

NPI number for Mr Praveen Putlur is 1609063908 and his current mailing address is 1710 Enchanted Forest St, South Bend, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609063908.

Contact Information

Mr Praveen Putlur, MS, PT, CSCS
111 W Jefferson Blvd, Suite 100,
South Bend, IN 46601-1994
(574) 647-2600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Praveen Putlur
GenderMale
SpecialityPhysical Therapist - Orthopedic
Location111 W Jefferson Blvd, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609063908
  • Provider Enumeration Date: 10/01/2007
  • Last Update Date: 10/01/2007

Medical Identifiers

Medical identifiers for Mr Praveen Putlur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609063908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 05008806A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Praveen Putlur is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Praveen Putlur, MS, PT, CSCS
1710 Enchanted Forest St,
South Bend, IN 46637-4756

Ph: (312) 502-0206
Mr Praveen Putlur, MS, PT, CSCS
111 W Jefferson Blvd, Suite 100,
South Bend, IN 46601-1994

Ph: (574) 647-2600

Reviews and Comments


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