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Organization
RAVI PHYSICIAN PC
Active
Organization
RAVI PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA RAMANA RAVI M.D (PRESIDENT)
(718) 292-6144
Entity
Organization
Contact information
Practice address
423 E 138TH ST, BRONX, NY 10454-3041
(718) 292-6144
Mailing address
423 E 138TH ST, SUITE 201, BRONX, NY 10454-3041
(718) 292-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205374
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096156
—
NJ
05
—
01935955
—
NY
Enumeration date
05/24/2007
Last updated
03/25/2010
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