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Individual
PAVAN MAHENDRA RAVELLA
Active
Individual
PAVAN MAHENDRA RAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
01075948A
IN
207RH0000X
Hematology (Internal Medicine) Physician
Primary
2025-03697
NC
207RX0202X
Medical Oncology Physician
01075948A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000964118
ANTHEM PROVIDER NUMBER
IN
05
—
201320510
—
IN
Enumeration date
10/02/2009
Last updated
12/30/2025
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