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Organization
RAVIKUMAR MEDICAL CORPORATION
Active
Organization
RAVIKUMAR MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GADSALLI RAVIKUMAR M.D. (PRESIDENT)
(714) 562-8562
Entity
Organization
Contact information
Practice address
5451 LA PALMA AVE, SUITE 47, LA PALMA, CA 90623-1728
(714) 226-0818
(714) 226-0202
Mailing address
3356 W BALL RD, SUITE 216, ANAHEIM, CA 92804-3702
(714) 562-8562
(714) 226-0818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A29509
CA
Other
Enumeration date
02/22/2012
Last updated
04/18/2013
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