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Individual

DR. RAVI C VALLABHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
621 N HALL ST, SUITE 400, DALLAS, TX 75226-1339
(469) 800-7400
(469) 800-7440
Mailing address
621 N HALL ST, SUITE 400, DALLAS, TX 75226-1339
(469) 800-7400
(469) 800-7440

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
H6673
TX
207RI0011X
Interventional Cardiology Physician
Primary
H6673
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118753601
TX
05
118753602
TX
05
118753604
TX
05
118753605
TX
Enumeration date
05/05/2006
Last updated
04/09/2015
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