Individual
DR. RAHUL RAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
43 NEW SCOTLAND AVE STE 7, ALBANY, NY 12208-3412
(518) 262-6696
(518) 262-2624
Mailing address
449 ROUTE 146 STE 101, HALFMOON, NY 12065-3239
(518) 373-3800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
294216
NY
Other
Enumeration date
07/09/2012
Last updated
06/28/2019
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