Individual
PRAVEEN KORIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 S GREEN VALLEY PKWY STE 300, HENDERSON, NV 89012-3145
(702) 791-1294
Mailing address
2304 E FLETCHER AVE, TAMPA, FL 33612-9404
(813) 615-2273
(813) 632-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14422
NV
207Q00000X
Family Medicine Physician
ME93253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004392300
—
FL
Enumeration date
07/21/2006
Last updated
07/11/2019
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