Individual
DR. JAYDEEP RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1145 STURGIS RD, TWENTYNINE PALMS, CA 92277
(760) 830-2483
Mailing address
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92277
(760) 830-2197
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
15867
CA
171000000X
Military Health Care Provider
—
—
207R00000X
Internal Medicine Physician
15867
CA
208M00000X
Hospitalist Physician
Primary
010017
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MILITARY
—
Enumeration date
06/23/2016
Last updated
01/31/2024
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