Individual
RAVI P GADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5477 GLEN LAKES DR, DALLAS, TX 75231-0946
(214) 363-5965
Mailing address
5477 GLEN LAKES DR, DALLAS, TX 75231-0946
(214) 363-5965
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
48617
MN
207VE0102X
Reproductive Endocrinology Physician
Primary
P2240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332633000
—
MN
Enumeration date
08/21/2006
Last updated
07/31/2012
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