Individual
RAVI VAELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
490 S MAPLE ST, SUITE 216, WACONIA, MN 55387-1760
(952) 442-2191
(952) 442-8081
Mailing address
490 S MAPLE ST, SUITE 216, WACONIA, MN 55387-1760
(952) 442-2191
(952) 442-8081
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01051926
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
492478100
—
MN
Enumeration date
03/01/2006
Last updated
05/14/2008
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