Individual
RAVI TEJA PASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2503
(603) 740-2497
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22497
NH
208M00000X
Hospitalist Physician
Primary
22497
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2015
Last updated
07/26/2022
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