Individual
DR. RAVI BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13943 N. 91ST AVE, BUILDING I, PEORIA, AZ 85381-3692
(623) 815-2690
(623) 815-2689
Mailing address
13943 N. 91ST AVE, BUILDING I, PEORIA, AZ 85381-3692
(623) 815-2690
(623) 815-2689
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
22399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172651
—
AZ
01
—
22399
LICENSE
AZ
Enumeration date
10/20/2005
Last updated
06/01/2009
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