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Individual

DR. NAGESH B RAVIPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13770 PLANTATION RD, SUITE 2, FORT MYERS, FL 33912-4301
(239) 275-0728
(239) 275-6947
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36251
AZ
208C00000X
Colon & Rectal Surgery Physician
104528
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
ME102588
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002755200
FL
01
1235326
WELLCARE
FL
01
149XH
BCBS FL
FL
01
341426
AVMED HMO/EPN THRU LEE PHO
FL
01
7783774
CIGNA
FL
01
9014393
AETNA
FL
01
P00956367
RAILROAD MEDICARE
FL
01
P930873
OPTIMUM
FL
01
P985345
FREEDOM HEALTH
FL
Enumeration date
02/10/2006
Last updated
10/05/2016
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