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Individual

RAVINDHRA G ELLURU

Active
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Individual

RAVINDHRA G ELLURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
01094488A
IN
207YP0228X
Pediatric Otolaryngology Physician
102056-875
WI
207YP0228X
Pediatric Otolaryngology Physician
35.079575
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2377888
OH
Enumeration date
07/20/2006
Last updated
12/16/2024
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