Individual
RAVI K AMARAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, 3RD FL WEST PAVILION, PHILADELPHIA, PA 19104-5130
(215) 615-5858
(215) 615-3349
Mailing address
3400 CIVIC CENTER BLVD, 3RD FL WEST PAVILION, PHILADELPHIA, PA 19104-5130
(215) 615-5858
(215) 615-3349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD422849
PA
207RX0202X
Medical Oncology Physician
Primary
MD422849
PA
Other
Enumeration date
06/11/2006
Last updated
08/21/2019
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