Individual
DR. MADHAVI L RAVIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1617 N CALIFORNIA ST, SUITE 2-A, STOCKTON, CA 95204-6117
(209) 466-8546
(209) 466-3335
Mailing address
PO BOX 1090, LODI, CA 95241-1090
(209) 334-1800
(209) 334-1430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A98168
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A98168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A981680
—
CA
01
—
1386636165
GROUP NPI
CA
Enumeration date
07/13/2007
Last updated
12/15/2021
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