Individual
DR. RAVEENDRA BABU RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2421 LAKE AVE, ASHTABULA, OH 44004-4953
(440) 997-0092
(440) 997-0093
Mailing address
2421 LAKE AVE, ASHTABULA, OH 44004-4953
(440) 997-0092
(440) 997-0093
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35041646R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431143
—
OH
01
—
340003631
RR MEDICARE
—
Enumeration date
11/13/2007
Last updated
02/22/2013
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