Individual
DR. RAVI VENKATA GANGAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Mailing address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA08271700
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MA08271700
NJ
Other
Enumeration date
05/29/2007
Last updated
05/01/2013
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