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Individual

DR. BALA KRISHNA BABJI RAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
374 STOCKHOLM ST, C/O FACULTY PRACTICE, BROOKLYN, NY 11237-4006
(718) 963-6551
(718) 963-6793
Mailing address
374 STOCKHOLM ST, C/O FACULTY PRACTICE, BROOKLYN, NY 11237-4006
(718) 963-6551
(718) 963-6793

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
203725
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01668097
NY
Enumeration date
05/03/2006
Last updated
09/14/2016
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