Organization
NANDAKUMAR RAVI MD A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
AMERICAN DIGESTIVE LIVER AND NUTRITIONAL DISEASE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANDAKUMAR RAVI MD (OWNER)
(661) 588-8725
Entity
Organization
Contact information
Practice address
9870 BRIMHALL RD UNIT 100, BAKERSFIELD, CA 93312-2798
(661) 588-8725
(661) 588-8749
Mailing address
PO BOX 22470, BAKERSFIELD, CA 93390-2470
(661) 588-8725
(661) 588-8749
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A64007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A640070
—
CA
Enumeration date
06/11/2006
Last updated
08/04/2014
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